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In rare cases , B12 can cause diarrhea, peripheral vascular thrombosis, itching, rash, hives, sensitivity to Cobalt and/or Cobalamin is a Contraindication

The use of Semaglutide / Cyanocobalamin Injection in pediatric populations has not been established, and the medication should not be used in patients under 18 years of age unless specifically justified by exceptional circumstances and under close specialist supervision

[17] However, more studies are needed to confirm this

Documenting these risk factors supports medical necessity: Adolescent girls and women with heavy menstrual bleeding Patients with chronic heart failure Kidney transplant recipients Elite runners and triathletes Bariatric surgery patients Patients with celiac disease or Crohns disease Anemia in Chronic Disease D63.8 Anemia of chronic disease develops from long-term inflammatory conditions