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The value is in what you do during the taper (build habits, establish support systems, practice managing hunger), not in the gradual dose reduction itself

But even people without diabetes can be prescribed Ozempic for weight loss

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If patients are to start NASCOBAL before having tolerated cyanocobalamin parenterally, consider administering an intradermal test dose of parenteral vitamin B12 to patients suspected of cyanocobalamin hypersensitivity [see Dosage and Administration (2.1)]

Further, there is no risk of the body eliminating the vitamins by seeing them as waste

doi:10.1038/s41591-024-03018-2 Abdul-Rahman T, Roy P, Ahmed FK, et al