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Immediate steps to take include: If experiencing thoughts of self-harm or suicide, call 988 (Suicide and Crisis Lifeline) or go to the nearest emergency department Contact your prescribing physician or primary care provider as soon as possible For weight management medications, discontinue use if you experience suicidal thoughts or behaviors, pending evaluation by your healthcare provider Keep a symptom diary noting mood changes, timing relative to medication doses, and any potential triggers Inform family members or trusted friends about your symptoms so they can provide support and monitoring Your healthcare provider will conduct a comprehensive assessment to determine the appropriate course of action

Adding B12 to the injection formulation provides direct metabolic support without requiring separate supplementation

Toxicon 59 , 464471 (2012)