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The primary reason B12 status can decline after gastric banding is reduced intake and tolerance of B12-rich foods

Jason Murphy, a weight-loss expert and head of pharmacy at Chemist4U, said that winter temperatures can affect storage conditions and that the effectiveness and safety of the drug could be compromised

A recently licensed option is the Wegovy pill , oral semaglutide, which the MHRA approved on 11 June 2026 as the first oral GLP-1 medicine licensed in the UK for weight management

Users who are also dealing with anxiety from tirzepatide or insomnia from semaglutide should discuss all symptoms together, as a comprehensive approach to side effect management is more effective than treating each in isolation