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These therapies work differently and may serve different roles within a structured plan

doi: 10.3389/fcell.2020.551681 242 XiaoJWangRZhouWCaiXYeZ

One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12

Cell Metabolism, 2019 doi: Nath, K

Tanabe, S., et al

Cyanocobalamin is the man-made version of B-12