Rare adverse effects specific to cyanocobalamin may include mild transient diarrhea, particularly with initial doses, and very rarely, allergic reactions in sensitive individuals
Whether they are worth the cost depends on your individual situation discuss with your physician rather than a clinic sales consultation
Mosby Company, St

References PMC Once-Weekly Semaglutide for Weight Management: A Clinical Review Comprehensive review of Semaglutides mechanism, efficacy, and safety in weight management (clinical data, half-life, GLP-1 receptor activation, weekly dosing) NCBI Bookshelf Semaglutide (StatPearls) Comprehensive pharmacology, clinical uses, dosing strategies, adverse effects, and contraindications for Semaglutide Mayo Clinic Semaglutide (Subcutaneous Route) Clinical guidance on Semaglutide administration, side effects, dosing, and patient information including weekly protocol PMC Semaglutide 2.4 mg for Weight Loss: Clinical Evidence Evidence-based review of Semaglutide 2.4 mg weekly maintenance dosing and clinical outcomes in obesity treatment PubMed Cardiovascular Outcomes with Semaglutide Long-term cardiovascular safety and benefits observed in Semaglutide clinical trials Journal of the Royal Society Interface (2017) Peer-reviewed review of formulation, temperature, agitation, lyophilization, and other factors that affect peptide stability

The underlying issue in many of these cases is unchecked fibrosis
"Prostate enlargement (benign prostatic hyperplasia)"