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Higher-dose oral B12 (e.g., 1000 g daily) is sometimes used but should only be considered under clinical supervision with appropriate monitoring, particularly in cases of malabsorption where intramuscular treatment remains the first-line approach in UK practice

The first item was: In general apart from treatments prescribed by your doctor do you sometimes take medications on your own to treat your B12 deficiency? The response options were Yes or No

What are the recommendations for vitamin B12 supplementation in a patient taking Ozempic (semaglutide)?

The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance

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