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The medical communitys preference for oral supplementation over injectable forms, combined with FDA warnings about compounded formulations, suggests that the risks may outweigh potential benefits for many individuals

High folic acid intake may mask a vitamin B12 deficiency

On top of that, common gastrointestinal side effects like nausea or vomiting especially when starting GLP-1 therapy can further disrupt how well the contraceptive hormones are absorbed

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This dilution can affect the concentration of hCG, the hormone detected by pregnancy tests