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Semaglutide is better for sustained results and overall health benefits, while Phentermine is a more affordable, short-term option for rapid weight loss

[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

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The safest response is to raise it with your GP or haematologist, who can look at your schedule, your dose and your original results together