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"Injections are the preferred treatment for patients unable to absorb vitamin B12, such as patients with autoimmune-related anemia or pernicious anemia, or history of gastrectomy, which means partial removal of the stomach, or a history of bariatric surgery," Levine told InStyle

The classic vitamin B12 sources for vegans are dietary supplements, usually in the form of methyl- or cyanocobalamin as well as in oral dosage forms, such as (lozenge) tablets or drops

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That means a 5mg vial effectively contains about 4.5mg of usable semaglutide