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Rare but serious: allergic reaction (hives, trouble breathing, face swelling) call 911

Patients should be aware that heavy, chronic ethanol use may counteract the therapeutic effects of vitamin B12

B12 does not accelerate weight loss or type 2 diabetes management in patients taking semaglutide

If your deficit is mild, you may respond quickly to medication and eating more foods containing B12

In summary, each vitamin in this injection is either Category A (pyridoxine) or exempt but considered safe at normal intake (thiamine, riboflavin, pantothenic), except niacin which is Category C at high doses but likely safe at modest doses