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10.1002/dta.3001 [DOI] [PubMed] [Google Scholar] de Ronde W., Smit D

Optimised Absorption: Even with malabsorption, theres a small amount of B12 that can be absorbed passively at very high oral doses

The following adverse effects were reported in patients receiving semaglutide injection or oral tablets across all clinical trials and at incidences higher than with placebo: nausea (11% to 44%), vomiting (5% to 24%), diarrhea (8.5% to 30%), abdominal pain (5.7% to 20%), abdominal distention (2% to 7%), constipation (3.1% to 24%), dyspepsia (0.6% to 9%), decreased appetite (6% to 9%), eructation (0.6% to 7%), flatulence (0.4% to 6%), gastroesophageal reflux disease (1.5% to 5%), gastroenteritis (4% to 6%), and gastritis (0.4% to 4%)

"The adolescent and adult form of cobalamin C disease: clinical and molecular spectrum"