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4.4 Special warnings and precautions for use NEUROBION AMPOULES should not be given for Vitamin B12 deficiency before a diagnosis has been fully established, because of the possibility of masking symptoms of subacute degeneration of the spinal cord

PMID: 31601019 35

Always follow your providers guidance on this

Symptoms of B12 Overdose: Causes and When to Seek Help Symptoms of B12 overdose are exceptionally rare, as vitamin B12 is water-soluble and excess amounts are typically excreted through urine

Semaglutide has a half-life of approximately 168 hours (one week), so weekly dosing maintains steady blood levels