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Another study published in Diabetes Care showed that combining semaglutide with vitamin B12 supplementation led to improvements in insulin sensitivity and glucose metabolism, making it an effective option for individuals with prediabetes or type 2 diabetes

Increasing your vitamin B12 intake can protect against deficiency to prevent these side effects

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Kraus et al., Nature (2014), on NNMT and diet-induced obesity

If you have concerns, discuss them with your doctor