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This matters even more if you're vegetarian, dealing with heavy periods, taking acid reducers, or have gut issues: all of which are common in perimenopause

"Injections are the preferred treatment for patients unable to absorb vitamin B12, such as patients with autoimmune-related anemia or pernicious anemia, or history of gastrectomy, which means partial removal of the stomach, or a history of bariatric surgery," Levine told InStyle

Its important to note that semaglutide has a boxed warning from the FDA (the strongest safety warning for prescription drugs) about the risk of developing thyroid C-cell tumors, especially if you have a personal or family history of this type of cancer

Depression: vitamin B12 also plays a key role in the central nervous system, therefore, it can influence the bariatric patients mental health