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Semaglutide may slightly influence vitamin B12 absorption in some people, but adding B12 is still more of a wellness approach than a proven scientific strategy

This results in faster and more efficient absorption compared to oral tablets

Normalization of vitamin B12 (B12) levels achieved following 1000 mcg oral Eligen B12 therapy: a clinical study comparing the efficacy and safety of oral B12 therapy versus intramuscular (IM) therapy

Treatment goal: Reduce or eliminate the need for red blood cell transfusions

If you have old vials, the worst likely outcome is reduced effectiveness rather than toxicity, but the economic waste and suboptimal results make using expired peptides a poor choice