Typical protocols range from a single high-dose loading injection (for severe deficiency) to monthly maintenance doses for those who struggle to maintain optimal levels
The combined solution goes into a nasal spray bottle calibrated to deliver a known volume per spray
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Most people absorb enough natural B12 that they dont have to worry about additional supplements, but for those with poor nutrition, stomach problems or cancer, B12 can be hard for the body to process
Alternative GLP-1 receptor agonists If semaglutide causes significant side effects or concerns about b12 status arise, other GLP-1 medications offer alternatives
doi: 10.1097/ AUD.0000000000000765