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Pulmonary Aspiration During General Anesthesia or Deep Sedation Inform patients that ZEPBOUND may cause their stomach to empty more slowly which may lead to complications with anesthesia or deep sedation during planned surgeries or procedures

Symptoms include: Muscle cramps Irregular heartbeat Weakness or numbness 2

Even those who get enough in their diet can be deficient in the vitamin if they have certain medical conditions or take specific medications

That is far beyond the static subcutaneous examples on this page and shows why oral and injected amounts should not be treated as interchangeable

Cyanocobalamin Cyanocobalamin is an artificial form of Vitamin B12 which the body converts into the active forms of Methylcobalamin and Adenosylcobalamin, ready for use