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This condition requires lifelong intramuscular vitamin B12 therapy to prevent serious neurological complications

Among non-prescription approaches, though, oral l-carnitine stands out for having multiple human randomized trials showing consistent, modest benefits

Patients should also clarify emergency protocols: whom to contact if symptoms worsen, when to seek urgent care, and criteria for temporarily holding semaglutide (such as during severe gastrointestinal symptoms, dehydration, or hospitalization)