Whilst some patients would prefer injections to skin patches or nasal sprays to sub-lingual tablets or sprays others might, and this already happens in a few cases, they might prefer daily oral tablets
As first described back in the 1950s, about one in ten people erupted in acne within days or even hours of getting an injection of vitamin B12, but it disappeared rapidly when the B12 shots stopped
Once you have seen results from a loading phase, nasal spray can conveniently maintain benefits without ongoing injection
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Semaglutide with B12 is given as a subcutaneous injection, usually once a week