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Infants from vegan mothers tend to be born with low B12 stores if the mother doesnt supplement vitamin B12 (supplements or fortified foods) during pregnancy

(See, e.g., Zon, Pharm

CagriSema is a fixed-dose combination of a long-acting amylin receptor agonist, cagrilintide, and a long-acting GLP-1 receptor agonist, semaglutide

If you do have decreased kidney function and your doctor recommends methylcobalamin, you may need a much higher dose because its less stable, so be sure to ask them about whats best given your condition