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In short: GLP-1 drugs can turn the metabolism off

Sanz-Cuesta T, Escortell-Mayor E, Cura-Gonzalez I et al (2020) Oral versus intramuscular administration of vitamin B12 for vitamin B12 deficiency in primary care: a pragmatic, randomized, non-inferiority clinical trial (OB12)

Loss of balance

However, sterile water is still preferred when the injection must be preservative-free

Here are some general steps for administering a B12 injection: Gather the necessary supplies: You will need a sterile needle and syringe, alcohol wipes, adhesive bandage, cotton balls, and the vial of B12

That also gets more water into the kitty which is good for them