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B12 injections are also used to treat people with malabsorption (gastrointestinal conditions that prevent proper absorption of B12 from the gut), for example, people with atrophic gastritis (stomach inflammation) and intrinsic factor deficiency (pernicious anemia) or those who have undergone surgical procedures such as gastrectomy or small bowel resection (stomach or intestine removed), autoimmune diseases, etc

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Patients with a personal or family history of medullary thyroid cancer should never take GLP-1 drugs because animal studies showed these medications may increase thyroid cancer risk in this specific population

Some patients may notice a visible difference in about five weeks, while for others, it can take several months