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B12 itself is generally safe, but the side effects often come from the semaglutide

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Spijkers, J

In the event of vitamin B12 deficiency, digestive disorders are common (nausea, diarrhoea, constipation)

Better Sleep Quality: While not a direct sleep aid, by improving overall energy metabolism and nervous system function, B12 can indirectly contribute to more regulated sleep patterns and improved sleep quality for some individuals