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Compounded semaglutide has emerged as a more affordable alternative, typically ranging from $150 to $500 per month depending on the pharmacy and dosage

They will also confirm your identity and check for allergies, sometimes using a small test dose for thiamine sensitivity

Those diagnosed are often prescribed B12 injections as a first-line treatment, which helps normalize B12 levels quickly and effectively, often within days to weeks

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If youre considering it, the path forward is clear: find a vet who understands integrative medicine, get proper dosing guidance, source from a reputable compounding pharmacy, and monitor your dog closely