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Phase 1: Loading Phase High-Calorie Days The first phase is the loading phase

Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

If you're feeling off and not sure why, a nutrient top-up might help restore your balance

When any of these vitaminsvitamin B12 or folateare deficient, the body's capacity to generate healthy red blood cells is affected

For a full list of possible side effects, and other important safety information, please reference the Mayo Clinics list of Semaglutide side effects