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The addition of semaglutide to this already high-risk group showed further b12 decline, but whether this represents a medication effect, dietary changes from additional appetite suppression, or natural progression of post-surgical deficiency remains unclear

Foggy thinking , low mood, or feeling easily overwhelmed

For maintenance or prophylactic use (such as in a patient with short-gut syndrome who cannot absorb oral vitamins well), a common regimen is 1 mL IM once weekly

Additionally, intravenous or intramuscular dexpanthenol is often prescribed for addressing dietary deficiencies of vitamin B5, especially in cases where a healthy diet alone is insufficient to provide the required amount