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However, if the pain worsens after 1014 days, swelling doesnt improve, or they experience redness, warmth, fever, or signs of infection, patients should seek medical attention

Monitoring schedule Healthcare providers who specialize in GLP-1 therapy typically recommend this monitoring cadence: Baseline: Full B12 panel before starting semaglutide 3 months: Repeat serum B12 and MMA 6 months: Full panel reassessment Annually: Once stable, annual monitoring is usually sufficient For high-risk patients (metformin users, vegans, those over 60, post-bariatric surgery), the 3-month check is particularly important

Treatment typically involves vitamin B12 supplementation, either through oral supplements or injections, depending on the severity of the deficiency and underlying causes.

Here are some foods that are a good source of vitamin B12: Dairy and (some) nondairy brands are fortified with vitamin B12