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Combining weight loss medications like phentermine and Saxenda may compound cardiovascular effects (increased heart rate, blood pressure), gastrointestinal side effects (nausea, vomiting), and central nervous system symptoms (insomnia, anxiety)

But oral Vitamin B12 supplements do have some limitations: Lower Absorption: For individuals with certain health conditions, such as gastrointestinal disorders or those who have undergone bariatric surgery, oral supplements may not be absorbed as effectively as injections

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Still, not everyone wants to rely on prescription medications or steroids to mask their pain