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Certain medications particularly insulin secretagogues or other glucose-lowering agents may need dose adjustments when combined with semaglutide due to its glycemic effects

Your descision of course but Im fine with my choices as sometimes circumstances dictate.They say best by dates and use by dates are guidelines when it suits them dont they,use your instincts on this one is my advice

As I said before PA is still thought to be the primary culprit here, other causes of B12 deficiency such as malabsorption caused by metformin, H2 blockers, PPIs, parasites, etc