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Juanpablo - it could still be worth finding out what your current B12 reading is , if you can find a medical professional who understands that it should by now be very high

If your employer-plan does not cover GLP-1s, it may be more affordable to pay the cash price rather than using insurance, especially for plans with high deductibles

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Substance Interactions: If you mix Vyvanse with other drugs or alcohol, it might alter how your body processes it

Cost-value analysis requires tracking both direct medication expense and indirect healthcare savings from improved metabolic markers, reduced medication use for comorbidities, and quality-of-life gains