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Many dietitians would recommend this approach, as doing so would make it easier for your stomach to digest and absorb the supplement

How Does a B12 Shot Work

Summary: GLP-1/GIP medicines (such as semaglutide and tirzepatide) are diabetes and weight management treatments that may indirectly affect vitamin B12 levels through altered gastric function, reduced dietary intake, and interaction with concurrent metformin use

It should be noted that Wegovy should not substitute but be supplemented with a calorie-restricted diet and regular exercise

A useful framing from a clinical perspective: NAD+ helps patients feel better faster, while Sermorelin helps them function better overall