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This can be due to viral infections (like dengue, hepatitis C), vitamin deficiencies (B12, folate), aplastic anemia, or as a side effect of chemotherapy and radiation

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Patients with a history of pancreatitis should be evaluated carefully before initiating treatment with Semaglutide / Cyanocobalamin Injection, as GLP-1 receptor agonists have been associated with acute pancreatitis in post-marketing surveillance, though a definitive causal relationship has not been established