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Prescription agents (e.g., semaglutide) : Stronger clinical evidence, FDA-regulated, but may carry more systemic side effects

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When to Seek Medical Help Immediately If your skin changes are worsening rapidly If you experience numbness, vision changes, or balance issues If youre pregnant or planning to become pregnant (B12 is vital for fetal development) Final Thoughts Vitamin B12 deficiency is more common than you think, especially among people following restricted diets or living with gut-related health issues

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Practical Example: A vegan experiencing mild fatigue might find that a daily high-strength oral B12 spray or tablet completely resolves their symptoms