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In high-risk patients, use semaglutide with caution
The potential effects on fetal development and the unknown presence in breast milk make these peptides inappropriate for use during pregnancy or breastfeeding
Women of reproductive age must use reliable contraception during treatment, with tirzepatide requiring additional barrier methods after dose changes
However, many factors can limit or even prevent proper absorption
At CoLaz we give B12 injections only after a free consultation and only where treatment is appropriate
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