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In a 2-year trial, acute pancreatitis was reported in 8 semaglutide-treated patients (0.27 cases per 100 patient-years) and 10 placebo-treated patients (0.33 cases per 100 patient-years), both on a background of standard of care.1 In trials of patients receiving oral semaglutide, pancreatitis was reported as a serious adverse event in 6 patients (0.1 events per 100 patient-years) receiving semaglutide versus 1 in comparator-treated patients (less than 0.1 events per 100 patient-years)

They might do blood tests showing improvement (e.g., better red blood cell indices once B/B levels normalize)

However, if youre not sure, you should ask your doctor to take a blood test to check your vitamin B12 level

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It is very hygroscopic in the anhydrous form, and sparingly soluble in water (1:80)