For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information
Semaglutides effect on gastric emptying represents one of the most significant mechanisms for potential drug interactions
The difference between B12 and lipotropic injections is that B12 injections contain only vitamin B12, while lipotropic injections contain B12 plus additional fat-metabolizing compounds like methionine, inositol, and choline (known as MIC)
[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)
Make sure youre covered on that front, either via diet, supplements, or injection, as appropriate for your situation
For 5 mg vials, 2 mL of water works well