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When, in the past, monitoring of symptoms had been done poorly, there may be some people who do not need parenteral B12 supplementation

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An untreated vitamin B12 deficiency can lead to neurological problems or pernicious anemia, which occurs when your body doesnt have enough B12 to produce the amount of red blood cells it needs ( Vitamin B12 shots are typically the most common way to prevent or treat a deficiency

It can lead to complications like blurred or disturbed vision, breathlessness and dizziness, mouth ulcers and tongue swelling, changes in the way you walk and move, and pale or jaundiced skin

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Compounded semaglutide with vitamin B12 is available in the market but has not been approved by the Food and Drug Administration (FDA)