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Pregnancy If you are pregnant or breastfeeding, you may not be suitable for B12 injections, but it is still safe for you and your baby if you take a limited dose of B12 orally

Intramuscular (IM) hydroxocobalamin injections bypass the intrinsic factor-mediated absorption mechanism, delivering the entire dose directly into circulation

Maintenance frequency after that varies depending on how you respond and what your ongoing goals look like

Medicines which can decrease the absorption of Vitamin B12 include: Colchicine (a medicine used to treat gout) Metformin (an anti-diabetic agent) Excessive Alcohol Vitamin C products

People who experience significant nausea on GLP-1 receptor agonists may tolerate tirzepatide with B12 better than formulations without it

During your initial consultation, we will review your medical history and test your serum vitamin B12 levels to determine if you suffer from vitamin B12 deficiency