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Its hard to say, because theres a variety of substances that could cause such side effects to B12 injections

Gastrointestinal adverse events including nausea, vomiting, and diarrhea are common with current GLP-1 agonists, leading some patients to discontinue treatment or fail to reach maximally effective doses

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Because GLP-1 medications reduce how much you eat, they can lower intake of vitamins A, B12, D, and E, especially in people already at risk due to obesity or type 2 diabetes