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Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives

Another very significant risk factor for developing B12 deficiency is a vegan or vegetarian diet

Switch to a non-oral contraceptive method or use a barrier method of contraception for 4 weeks after starting Ozempic and for 4 weeks after each dose escalation, until you reach a maintenance dose

These effects drive the weight loss results that patients seek