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[76] Ruminants, such as cows and sheep, are foregut fermenters, meaning that plant food undergoes microbial fermentation in the rumen before entering the true stomach (abomasum), thus allowing them to absorb the vitamin B 12 produced by the bacteria

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Patients with a history of GERD or hiatal hernia should discuss these conditions with their healthcare provider before starting semaglutide, as they may require closer monitoring, though a definitive risk relationship has not been established through controlled studies

Wegovys current Section 2 has five subsections: important monitoring and administration instructions