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Patients taking these semaglutide medications have reported: Deep vein thrombosis (DVT) Gallbladder disease Gastrointestinal issues, including paralyzed stomach (gastroparesis) and gastroenteritis Ileus Intestinal blockages Necrotizing pancreatitis Pulmonary aspiration Vision loss and vision changes , including an eye-rotting injury called NAION All of these are among the nearly 62,000 FDA adverse event reports for semaglutide drugs

Some patients may use variations such as Bimix (two ingredients) or Quadmix (adding a fourth agent like atropine)

If patients are to start NASCOBAL before having tolerated cyanocobalamin parenterally, consider administering an intradermal test dose of parenteral vitamin B12 to patients suspected of cyanocobalamin hypersensitivity [see Dosage and Administration (2.1)]