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The main reasons to request a formulation without B12 would be a documented B12 allergy (extremely rare) or a preference for managing B12 supplementation separately through oral supplements

Suzuki K, Harada N, Yamane S, Nakamura Y, Sasaki K, Nasteska D, Joo E, Shibue K, Harada T, Hamasaki A, Toyoda K, Nagashima K, Inagaki N

strength and titration pack), verifying that patients are not codispensed other semaglutidecontaining products or GLP1 RAs, and counseling on administration specificsespecially the need to take tablets with water only and delay other oral medications by at least 30 minutes

What it doesn't mean - LIV Body itself doesn't prescribe anything

The key is to choose the right treatment under medical supervision