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In its dry form, B12 is remarkably stable against both heat and light

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However, in rare casessuch as patients with kidney disease or specific hereditary disorders related to vitamin B12 metabolismhigh doses or inappropriate use could potentially cause complications

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Semaglutide has also been linked to an increased risk for pancreatitis, pancreatic cancer, thyroid cancer, and gallstones [14]

Worse, degraded peptides can form aggregates or byproducts that may trigger immune responses or injection site reactions