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Vitamin B12 is required for the metabolism of proteins and carbohydrates

For the coated tablet form, the patient should take the tablet with plain water, either before or after meals, and must not crush or chew the tablet

Other than GI-related side effects, patients on semaglutide also report serious side effects, such as kidney problems, pancreatitis, gallbladder disease, hypoglycemia (low blood sugar), and severe allergic reactions

This tapering protocol aims to maximize early healing acceleration before reducing to maintenance levels

According to NICE guidance, hydroxocobalamin injections are the recommended first-line treatment for pernicious anaemia and other malabsorption-related deficiencies