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LeWine, MD, Chief Medical Editor, Harvard Health Publishing

Individuals with any of the following conditions should consult with their healthcare provider before use and may not be eligible for treatment: Personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2) Known hypersensitivity to GLP-1 or GLP-1/GIP medications or any formulation components, including additives such as vitamin B12 or cobalt Pregnancy or plans to become pregnant (therapy should be discontinued at least two months prior to planned pregnancy) Diabetic ketoacidosis (DKA) or type 1 diabetes Severe gastrointestinal disease (including gastroparesis or active inflammatory bowel disease) Severe cardiovascular disease (including unstable coronary artery disease or heart failure) Recent bariatric or gastrointestinal surgery within the past six months Active cancer currently undergoing chemotherapy or radiation treatment This list is not comprehensive

Vitamin B12: All You Need to Know By: EMC Denver Youve probably noticed how often vitamin B12 appears in internet searches these days

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These dispositions emerge as habits (repetitive and routinized actions), that, over time, give rise to habitus : persistent and often deleterious engagements such as tobacco or alcohol use

Tell the healthcare practitioner if there is any known hypersensitivity to any of these additives