If you experience any of these symptoms while on compounded semaglutide with B12, ask your provider to check your serum B12 level and methylmalonic acid level
Both drugs can blunt appetite, leading to decreased caloric consumption
So, your overall quality of life gets disturbs

Sulfur content in foods consumed in an Italian population and impact of diet quality on sulfur intake, Journal of Food Composition and Analysis (2023) Hydrogen sulfide toxicity in the gut environment: Meta-analysis of sulfate-reducing and lactic acid bacteria in inflammatory processes, Journal of Advanced Research (2020) Semaglutide alleviates gut microbiota dysbiosis induced by a high-fat diet, European Journal of Pharmacology (2024) Hydrogen sulfide produced by gut bacteria may induce Parkinsons disease, Cells (2022) Wegovy highlights of prescribing information, Food and Drug Administration (2025) Sufficient water intake maintains the gut microbiota and immune homeostasis and promotes pathogen elimination, iScience (2024) The effect of sulfur nutrition on plant glucosinolate content: Physiology and molecular mechanisms, Plant Biology (2007) Peppermint oil, National Center for Complementary and Integrative Health (2025) Medically accurate: SingleCares Medical Review Board analyzes all of our content to confirm its in line with current medical advice

However, because semaglutide changes how your body processes food and other oral drugs, there are important physiological factors to consider
As Stephen ORahilly, an endocrinologist and director of the University of Cambridge MRC Metabolic Diseases Unit, pointed out, obesity is also associated with poor fetal outcomes, heightening a womans risk of everything from stillbirth to diabetes and high blood pressure