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Ozempic (semaglutide) originally a diabetes medication has become a household name for its impressive weight loss results, often helping patients shed around 15% of their body weight in about a year

One well-documented interaction is with certain anti-epileptic drugs: high-dose pyridoxine may reduce the plasma levels of phenytoin and phenobarbital by enhancing their hepatic metabolism, potentially diminishing their anticonvulsant efficacy

However, for various reasons, including dietary restrictions or absorption issues, many people do not get enough B12 from their food alone

It was slow progress with some symptoms getting worse before better