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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

PMID 30261596

Acute Gallbladder Disease In a pool of Study 1 and 2, cholelithiasis was reported in 1.1% of ZEPBOUND-treated patients and 1% of placebo-treated patients, cholecystitis was reported in 0.7% of ZEPBOUND-treated patients and 0.2% of placebo-treated patients, and cholecystectomy was reported in 0.2% of ZEPBOUND-treated patients and no placebo-treated patients

For tendons, ligaments, bones, gut health, and even general muscle soreness, the systemic route is the way to go

Intramuscular Injection The B12 is injected into the muscle using a fine needle