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Pre-existing b12 deficiency or low-normal levels Anyone starting semaglutide with documented b12 deficiency or levels in the low-normal range (200 to 400 pg per milliliter) should receive supplementation

Dont worry, these symptoms typically subside after the first week or so

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The FDA also warns not to take Ozempic if you have or have a family history of multiple endocrine neoplasia syndrome Type 2 or medullary thyroid cancer

References FDA Label for Wegovy (Semaglutide) FDA Label for Adipex-P (Phentermine) STEP Clinical Trial NEJM Phentermine Efficacy & Safety Review Disclaimer: This article is for educational purposes only