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Its important to note that semaglutide has a boxed warning from the FDA (the strongest safety warning for prescription drugs) about the risk of developing thyroid C-cell tumors, especially if you have a personal or family history of this type of cancer

"Injections are the preferred treatment for patients unable to absorb vitamin B12, such as patients with autoimmune-related anemia or pernicious anemia, or history of gastrectomy, which means partial removal of the stomach, or a history of bariatric surgery," Levine told InStyle

If you have low vitamin B12 then you may need to look at your diet and eat more animal products, like meat, seafood, dairy and eggs