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By Alaiyka Parvez Owner, CoLaz Aesthetics Clinic The short version B12 injections are the standard NHS treatment for proven B12 deficiency, most commonly caused by autoimmune gastritis (pernicious anaemia), some medications, gut surgery, or a long-term vegan diet without fortification

Still not sure how much B12 you should be taking

Diarrhea or constipation Digestive changes occur as semaglutide slows gastric emptying

But injectable B12 might be needed for severe cases or when absorption is a problem

This is consistent with our previous reports that MMA has potential advantages as a potential prognostic indicator