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Dietary optimization, particularly for omnivorous athletes, might eliminate the need for any supplementation

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Frequent missed doses may compromise treatment effectiveness, and patients experiencing difficulty maintaining their dosing schedule should discuss strategies with their healthcare provider, such as setting reminders or adjusting the injection day to better fit their routine

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It's worth noting that none of the studies so far into semaglutide, such as the SUSTAIN trials, have noted any vitamin B12 deficiency
