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this leads to a malabsorption of the vitamin Certain medications use long term metformin use and chronic acid-reducing drugs decrease the absorption of vitamin B12 from food particles Malignancy of the pancreas or bowel Folic acid deficiency Semaglutide Semaglutide is contraindicated in patients with a history of angioedema, anaphylaxis, or other serious hypersensitivity reaction to semaglutide

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Women should stop taking Ozempic and Wegovy at least two months before they plan to get pregnant to clear the medication from their body, according to the prescribing information

Loosen SH, Demir M, Kostev K, Luedde T, Roderburg C