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GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

Moreover, when you use either of the vitamins with semaglutide, you get the following two hard-to-miss benefits: Enhanced Metabolism and Energy Levels Vitamin B6 : Breaks down proteins and fats efficiently, complements semaglutides appetite-suppressing effects, and reduces nausea

The symptoms that should be watched for if you are developing vitamin B12 deficiency often come on slowly, and gradually, but over time will intensify

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