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I like the Pascoe most because I have almost no pain using them

These people would otherwise rely on the availability of daily B12 shots to counter their inability to absorb B12 through the gut

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patients receiving semaglutide in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia

While these are thought of as side effects of the vaccine, another way to think about them is that they are signs your immune system is working, and thats a good thing