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First, they come from different populations and trial designs than the cagrilintide studies SURPASS-2 compared tirzepatide with semaglutide in diabetes

The difference between the two is that cyanocobalamin is a synthetic form of Vitamin B12 found only in supplements (pills), while methylcobalamin is a naturally occurring form that you can get through either food sources or injections

If you have a B12 deficiency, you can experience symptoms such as changes in mood, poor heart function, reduced fertility, and other negative effects

Retesting B12 blood serum levels to verify they are increasing as expected

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