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For short term conditions you may only need a few injections
So, the answer is yes: you can use cyanocobalamin and semaglutide together
Cyano is a form of vitamin B12 that is man-made
[91] Since only bacteria and some archea possess the genes and enzymes necessary to synthesize vitamin B 12 , plant and algae sources all obtain the vitamin secondarily from symbiosis with various species of bacteria, [5] or in the case of fermented plant foods, from bacterial fermentation
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