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While rare, these require immediate medical attention

It is likely that many patients will require intramuscular B12 replacement for the duration of their metformin treatment, although a trial of oral replacement initially may be worthwhile.

Phentermine, which is a classic appetite suppressant, is still in rotation

Heres an example case of adverse reactions to vitamin B12 shots due to benzyl alcohol sensitivity

Typical costs include: Initial consultation and medical evaluation HCG injections (which can range from $200 to $500 per week) Dietary supplements and vitamins Follow-up appointments and monitoring Its important to remember that these prices can change