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For patients requiring additional therapeutic effect, the dose may be increased to 1 mg of semaglutide weekly after at least four weeks at the 0.5 mg dose

There is no good evidence that B12 injections accelerate fat loss in people with normal B12 levels

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It is also involved in the metabolism of carbohydrates, fats, and proteins

Plus, because B12 vitamin is bound to amino acids (found in protein foods) and is only released when certain enzymes and stomach acids are present, its possible to consume enough but still remain somewhat deficient