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Conditions such as Crohns disease or Celiac disease can inflame the gut lining, making it difficult for the small intestine to absorb B12 efficiently

Antiemetics (anti-nausea medications) like ondansetron are generally safe to use temporarily, but long-term masking of GLP-1 nausea may prevent proper dose titration

J Appl Physiol (1985) 2007;102(3):10651070

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On a private prescription, the Wegovy pill costs roughly 150-230 a month, depending on the dose and provider, which is broadly in line with the injections rather than clearly cheaper