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Excess B12 is excreted through urine as a water-soluble vitamin, reducing the risk of toxicity
Vitamin B12 deficiency may manifest as: Hyperchromic macrocytic megaloblastic anaemia (pernicious anaemia, Biermer's anaemia, Addison anaemia
The SELECT cardiovascular outcomes trial demonstrated a 20 percent reduction in major cardiovascular events, suggesting benefits beyond weight loss that may justify long-term use even after weight goals are achieved
Why this is legal in 2026 Compounded semaglutide is dispensed under Section 503A of the Federal Food, Drug, and Cosmetic Act, which authorizes a state-licensed pharmacy to compound a drug for an identified individual patient with documented medical need
Not a substitute for evaluated metabolic care
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