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Nutrients 11, (2019)

Whilst Ozempic itself does not affect B12 metabolism directly, patients using this medicationespecially those taking metformin concurrentlyshould remain vigilant about their nutritional status

Comparing Oral, Sublingual, and Injectable Efficacy Vitamin B12 comes in oral, sublingual, and injectable forms

For many patients, they are the more effective choice

Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives

If there is evidence of vitamin B12 uptake disorder in the intestine, 100 g cyanocobalamin are then administered once a month