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Rare: injection site reactions, hypoglycemia (mainly when combined with insulin or sulfonylureas)

Patients starting combination therapy should monitor for individual tolerance during the first 4 to 6 weeks

Having said, that, Vitamin B12 is also not a standalone solution for people who are obese, and there are reasons to support this theory

Pharmacy benefit managers (PBMs) contracted with Cigna occasionally impose quantity limits or refill restrictions, capping monthly injections even if your physician determines higher doses are medically necessary

Medical News Today spoke with Benjamin Bert, MD, a board certified ophthalmologist at MemorialCare Orange Coast Medical Center in Fountain Valley, CA who was not involved in this study to ask him this question