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Search terms like "vitamin B12 GLP-1 agonist," "cyanocobalamin absorption gastric emptying," and "B12 deficiency obesity surgery" yield relevant papers

No, not all women notice visible symptoms such as abdominal pain, spotting, or breast tenderness

However, the general consensus has been that people who have used out of date ampoules - and there are several of us - and various scientists on the group, suggest that glass ampoules are a biologically safe way of storing the fluid and will stop pathogens getting in
Serious reactions include OHSS, severe abdominal pain, and other symptoms