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Vials required for a 12-week protocol Note: Two low-dose vials contain enough peptide by mass, but the 12-week schedule spans three 28-day refrigerated-use windows

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Vitamin B12 Though not a direct effect of fasting, low Vitamin B12 levels can occur with reduced overall food intake or long-term use of certain medications (including metformin, which is sometimes co-prescribed with semaglutide)

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If that doesn't help, we can always prescribe an anti-nausea medication

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Patients with gastrointestinal conditions Pre-existing conditions like gastroparesis, inflammatory bowel disease, or severe GERD may intensify semaglutide gastrointestinal side effects

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