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At 5mg per week with a 5mg/ml concentration, you are drawing 100 units, a full syringe

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It prevents microbial proliferation in solutions that will be accessed multiple times, which is why single-dose ampules contain sterile water without preservatives

If your pharmacy includes B12 at a lower concentration, you may want to supplement with additional oral or sublingual B12 between injections, especially at lower semaglutide doses where injection volume (and therefore B12 delivery) is minimal