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Elevated serum B12 levels (hypercobalaminaemia) detected on blood tests may indicate underlying conditions such as liver disease, kidney dysfunction, or myeloproliferative disorders rather than representing a direct cause of symptoms

If assistance is needed, they should reach out to their healthcare provider for guidance

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That said, here are some groups of people who are typically not candidates for semaglutide or advised to use it with caution: History of Pancreatitis Individuals with a history of pancreatitis, which is inflammation of the pancreas, should avoid semaglutide due to the potential risk of exacerbating the condition

Expert Rev Clin Pharmacol (2023) 16(2):16176

The headline takeaway: Piper's 6-month tier is the cheapest compounded semaglutide in this comparison