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Individuals at higher risk include older adults with reduced stomach acid production, people with gastrointestinal conditions affecting absorption, strict vegans, and those taking medications like metformin or proton pump inhibitors

When symptoms return early A subset of people on standard maintenance notice their symptoms come back well before the next scheduled dose

doi: 10.2460/javma.252.11.1368

A more clinically honest way to think about combination therapy If youre already on GLP-1/GIP therapy and plateaued, the first questions are usually: Are you undereating protein and losing lean mass

In that way, you do not put unnecessary pressure on your body, and you gain something from the vitamin b12 injections

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