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Vitamin B12 deficiency recovery can take time, six to twelve months, but with ongoing supplements, improvement should be gradual

Injections are appropriate for vegans or vegetarians with confirmed deficiency or documented absorption issues, but they are not the only effective option

Vitamin B12 injections are generally very safe, even at higher doses, because B12 is a water-soluble vitamin

A vial of semaglutide from a legitimate compounding pharmacy like Empower or Olympia Pharmacy might cost several hundred dollars

It shows minimal effect on glucose homeostasis but may slightly raise HbA1c in some users

NICE recommends more frequent injections (alternate days until no further improvement) for patients with neurological involvement