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Most cases are asymptomatic and the finding is incidental

Brand-name semaglutide (0.52.4 mg weekly) costs $900$1,300/month without insurance, making discontinuation tempting when costs accumulate

Preliminary skin and nail assessment took place 4 weeks before the trial started

You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated