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Semaglutide does not directly affect intrinsic factor production, but the reduced stomach acid environment can compromise the initial separation step that makes b12 available for intrinsic factor binding

Cyanocobalamin (Generic Equivalent of Vitamin B12 Injection) Type Drug Manufacturer Country Dosage Qty Price(CAD) Type: Drug:Cyanocobalamin 30ml Vial (Sterimax) - (Expiry Note) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:1 Price(CAD):$55.27 Type: Drug:Cyanocobalamin 10ml Vial (Sterimax) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:1 Price(CAD):$40.99 Type: Drug:Cyanocobalamin 10ml Vial (Sterimax) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:2 Price(CAD):$47.41 Type: Drug:Cyanocobalamin 10ml Vial (Sterimax) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:3 Price(CAD):$55.27 Type: Drug:Cyanocobalamin 30ml Vial (Sterimax) - (Expiry Note) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:3 Price(CAD):$119.53 Type: Drug:Cyanocobalamin 10ml Vial (Sterimax) Mfr.:Generic Country:Canada Dosage:1000 mcg/ml Qty:5 Price(CAD):$89.26

The bad news is that you need to have a good intake of them all every day

Athletes in drug-tested sports should consult a sports medicine physician familiar with WADA rules before considering either compound

Sender R, Fuchs S, Milo R