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CagriSema , a combination of semaglutide and cagrilintide (an amylin receptor agonist), represents another approach

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Here's how: Continue injections until B12 levels normalize Begin daily sublingual spray supplementation Gradually reduce injection frequency under medical supervision Monitor B12 levels with blood tests Maintain daily spray for ongoing support Always consult your healthcare provider before making changes to your B12 treatment plan

These can include abdominal pain

If youre paying cash, the average retail price for a 28-day supply of Zepbound without insurance is about $1,509 for four 0.5 mL pens with a 2.5 mg/0.5 mL dose