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This is because B12 is not a standard medication in the US or UK, so it is often made in small-scale compounding pharmacies rather than in large-scale manufacturing facilities

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Current medical evidence shows that individuals with normal B12 levels are unlikely to experience increased energy or reduced fatigue from extra B12 supplementation, as the body simply excretes what it does not need

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In December 2023, the FDA issued a warning about compounded semaglutide products, noting that some contained salt forms of semaglutide (such as semaglutide sodium or semaglutide acetate) that differ from the base form in the FDA-approved products

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