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Oral absorption is considered too undependable to rely on in patients with pernicious anemia or other conditions resulting in malabsorption of vitamin B 12

This safety feature reduces hypoglycemia risk compared to insulin or sulfonylurea medications

Nausea represents the most frequently reported adverse reaction, affecting a significant proportion of patients, particularly during the initial weeks of therapy or following dose increases

And if you smoke, get help to quit right away

At least the blood test and vitamins should become your routine