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You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

Usually, 1 injection per week is recommended during the initial treatment course

10.1073/pnas.0510565103 Proc

Some healthcare providers may prescribe Rybelsus "off-label" for weight management, as it contains the same active ingredient (semaglutide) as Wegovy, an FDA and UK-approved weight-loss medication

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Cagrilintide is the only available amylin pathway option