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The weight loss stalling that many patients experience during semaglutide therapy can also be partially attributed to declining lean mass and the metabolic slowdown it causes

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If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary

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