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Cyanocobalamin formulations contain trace amounts of cyanide and are contraindicated in patients with Leber's hereditary optic neuropathy

Phentermine is an amphetamine-like drug that helps decrease hunger

While anyone can have low B12, some groups are especially at risk: Vegans and vegetarians: Plant-based diets often lack enough B12 since it's mainly in animal products

Prevention of Major Birth Defects : Expectant mothers with B12 deficiency may choose to receive injections to ensure their levels are sufficient, contributing to the health of their unborn child

If the patient has both obesity and type 2 diabetes, the provider may be able to prescribe Ozempic for the diabetes indication, and the patient may experience weight loss as a secondary benefit