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The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

Semaglutide belongs to a class of drugs called GLP-1 receptor agonists, initially developed for diabetes management

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AOD-9604 Administration Guide Proper administration technique ensures optimal absorption, minimizes discomfort, and maintains the peptides stability and efficacy