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Bone Fractures In 2019, a study found an association between high intakes of vitamins B6 and B12 from food and supplements with the risk of hip fracture among postmenopausal women in the Harvard Nurses Health Study

The right next step depends on the reader's evidence, safety, cost, access, and provider-review needs

Quite a few of these medications do mention vitamin B12 deficiency on their side effects list, especially if they are taken long-term

Healthcare providers often need to reduce the doses of these concurrent antidiabetic medications when starting semaglutide therapy, with subsequent adjustments based on glucose monitoring results and clinical response

I always recommend a series of 10 shots taken every 7 days over 10 weeks