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and dactylitis [112]

These require dermatologist evaluation for other causes beyond medication

Even though vitamin supplements are sold over the counter, any vitamin supplementation should always be discussed with a physician, says Gary Soffer, MD, a Yale Medicine allergist and immunologist who offers guidance on the safe use of dietary supplements, among other things, within the Integrative Medicine Program at Smilow Cancer Hospital

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The adverse effects associated with this compounded medication primarily reflect those observed with semaglutide, as cyanocobalamin is generally well-tolerated with minimal side effects when administered at therapeutic doses