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[13] [15] Is it safe to use during pregnancy or breastfeeding

Although routine monitoring of serum calcitonin is of uncertain value in patients treated with semaglutide, if serum calcitonin is measured and found to be elevated, the patient should be referred to an endocrinologist for further evaluation

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Bioavailability and Conversion: Methylcobalamin is the active form of vitamin B12, meaning it does not require conversion by the body to be utilized

or if you are receiving any medication or treatment that affects bone marrow