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Here is what the letter said, and what it did not say

The clinical implication: patients switching from Wegovy who had persistent constipation may see improvement on Zepbound

Before taking a B12 shot, tell your doctor if you: Are allergic to B12, cobalt or any multivitamin combinations Have vision issues or Lebers disease (a genetic condition that causes vision loss) Have any infections Have been diagnosed with folic acid deficiency or iron deficiency Are pregnant, breastfeeding, or planning to get pregnant Are taking any supplements, including herbal supplements Are taking any medications, such as folic acid, methotrexate, chloramphenicol, colchicine, para-aminosalicylic acid (PAS), or pyrimethamine Have liver or kidney disease Have a drinking problem RxList

Water/Aqua/Eau, Tetrahexyldecyl Ascorbate (vitamin C/antioxidant), Dimethicone (silicone/emollient), Glycerin (humectant), C912 Alkane (solvent), Ascorbyl Glucoside (vitamin C/antioxidant), Silica (texture enhancer), Pyrus Malus (Apple) Fruit Extract (plant extracts/antioxidant), Hydrogenated Lecithin (emollient), Polyglyceryl6 Polyricinoleate (emulsifier/suspending/dispersing agent), Acrylates/C1030 Alkyl Acrylate Crosspolymer (texture enhancer), Xanthan Gum (texture enhancer), Glutathione (antioxidant), Ergothioneine (antioxidant), Oryza Sativa (Rice) Bran Extract (plant extracts/antioxidant), Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer (suspending/dispersing agent), Cetyl Alcohol (emollient), Caprylyl Glycol (humectant), Lysine Carboxymethyl Cysteinate (antioxidant), CocoCaprylate/Caprate (emollient), Tocopherol (vitamin E/antioxidant), Sodium Citrate (pH adjuster), Sodium Phytate (chelating agent), Hexylene Glycol (humectant), Ethylhexylglycerin (humectant), Helianthus Annuus (Sunflower) Extract (plant extracts/antioxidant), Urea (humectant), Mannitol (humectant), Caprylic/Capric Triglyceride (emollient), Sodium PCA (humectant), Rosmarinus Officinalis (Rosemary) Leaf Extract (plant extracts/antioxidant), Polysorbate 60 (emulsifier), Sorbitan Isostearate (emulsifier), Trehalose (humectant), Ascorbic Acid (vitamin C/antioxidant), Glucose (humectant), Vanilla Planifolia Fruit Extract (plant extracts/antioxidant), Polyquaternium51 (filmforming agent), Triacetin (solvent), Sodium Hyaluronate (humectant), Phenoxyethanol (preservative)