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Allergic Reactions: While uncommon, some individuals may experience allergic reactions to the injection, which can include itching, rash, or difficulty breathing

Cyanocobalamin injections should be given intramuscularly, in the muscle, or subcutaneously, under the skin, as directed by your veterinarian

One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12

Elderly patients with cardiac conditions or those taking loop or thiazide diuretics may be particularly vulnerable