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In addition to this, many people have problems metabolizing B12 in low-quality forms like cyanocobalamin due to defects in the MTHFR gene (1) (as many as 40% of people have THIS problem!)

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Lange H, Suryapranata H, De Luca G, et al

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it does not establish that reducing to 0.5 or 1.0 mg will hold the same plateau. One milligram has direct weight-loss evidence as an assigned treatment arm in type 2 diabetes, while small uncontrolled series suggest that dose reduction or reduced-frequency dosing can sometimes hold a plateau. No trial has established a Semaglutide step-down schedule

The abdomen also tends to have less nerve density than the thigh at the specific insertion points used, which translates to less sensation during injection