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People often choose injections when they have: Severe deficiency Stomach or gut conditions that block absorption Pernicious anemia Surgery that reduces nutrient absorption Doctors prefer injections because they can track improvement through blood tests and adjust the dose as needed

If dizziness clusters around dose changes or the first days at a new dose, slowing the titration schedule is a reasonable option to discuss with your prescriber

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Oral semaglutide is technically possible but less ideal for post-sleeve patients because it requires adequate stomach contact time to be absorbed, which your smaller pouch may not provide