This is a key reason why this combination is a go-to in regenerative medicine for optimizing health from within
If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)
The biggest risk is accidentally biting your numb lip, cheek, or tongue
Therefore, vitamin B12 supplements are recommended for dogs with digestive ailments, including long-term diarrhea or chronic colitis, inflammatory bowel disease (IBD), and exocrine pancreatic insufficiency (EPI)
Some suppliers offer 10mg but must be used quickly or may waste
Coffee, cold showers and runs around the block will just leave you alert, wet, and out of breath but still drunk