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Phentermine and semaglutide cause completely different types of side effects because they work through completely different mechanisms
This was because hydroxocobalamin produced by bacteria was changed to cyanocobalamin during purification in activated charcoal columns after separation from the bacterial cultures (because cyanide is naturally present in activated charcoal)
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Injections can cause minor effects such as irritation or itching at the injection site, and the consumer fact sheet is a good plain-language reference on what B12 does and does not do
This deficiency is so common that I recommend using B12 for almost all hypothyroid patients regardless of what your labs show
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