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Certain medications can affect B12 levels

In Wisconsin, this will be either a blood or breath test

Shaking rather than gently swirling, using non-sterile water, or injecting directly onto the powder cake can all reduce effectiveness

The use of Semaglutide / Cyanocobalamin Injection in pediatric populations has not been established, and the medication should not be used in patients under 18 years of age unless specifically justified by exceptional circumstances and under close specialist supervision

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In the case of Pernicious Anaemia and B12 deficiency diagnosis and treatment, other guidance exists
