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If we clear that one out the way I can then tackle the possibility that it might still be a B12/iron/blood issue of unknown origin

Yes, combining GLP-1 injections with other treatments can enhance its effectiveness

B12 Vitamin shots are intravenous or intramuscular injections that contain optimal doses of Vitamin B12, used to quickly and effectively elevate levels of vitamin deficiency

2022 Mar 24 [cited 2022 Apr 7];2(3)

Its always better to be sure than sorry.

The following symptoms of vitamin B12 deficiency are listed by Bupa: Feeling very tired Breathlessness even after little exercise Heart palpitations Headaches A reduced appetite A sore mouth and tongue Avoiding vitamin B12 deficiency Experts say adults aged 19 to 64 require around 1.5 micrograms (mg) a day of vitamin B12, and you should be able to get this through your diet