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Two working peptides, a few carriers, and nothing added for the label

Compounded semaglutide with b12 has become increasingly common in weight loss clinics and compounding pharmacies across the country

Kannt A, Pfenninger A, Teichert L, Tnjes A, Dietrich A, Schn MR, Klting N, Blher M. Association of nicotinamide-N-methyltransferase mRNA expression in human adipose tissue and the plasma concentration of its product, 1-methylnicotinamide, with insulin resistance. Diabetologia. 2015 Apr;58(4):799-808. doi: 10.1007/s00125-014-3490-7. Epub 2015 Jan 18. PMID: 25596852; PMCID: PMC4351435

Unlike a lot of other vitamins which can be absorbed straight into the bloodstream, B12 relies on binding with a protein called intrinsic factor to do this