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The storage requirements for this compounded medication reflect the need to preserve both the semaglutide and cyanocobalamin components while preventing degradation, contamination, or other changes that could negatively affect the medication
The more activated and bioavailable forms of vitamin B12 tend to be more expensive but they are worth the extra money, especially for thyroid patients
60 , 61 Vitamin B 12 deficiency may induce macrocytosis, peripheral neuropathy, ataxia, dizziness, cognitive disturbances, depression, delirium, psychosis, paralysis, muscle cramps, fibromyalgia-like symptoms, and fatigue
For example, your GP might prescribe injections every other day for two weeks to get your B12 levels back up to normal as quickly as possible
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