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There is a certain type of anemia associated with too much B12, and so clearly, a physician should be ordering the medication, and should follow the patient closely for any problems

[14] [15] It is important to note that routine B12 screening is not currently standard practice for all patients taking GLP-1 receptor agonists, but individualised assessment based on risk factors and symptoms is appropriate clinical practice

I have Crohns Disease and this is the only way I can correct my B12 deficiency

Oral Supplements : Oral supplements are widely available, and research suggests that, at high doses, they can be just as effective as injections for correcting deficiency[21], making them a viable alternative for many individuals