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Late eating or alcohol in the pre-injection window blunts the response

If Im treating a diabetic patient on metformin who wants to try semaglutide, I usually add it and continue metformin until I see how their glucose levels respond, says Jennifer Brown, DO, ABOM, ABFM, a board-certified obesity and family medicine specialist at Maxwelton Health Center in West Virginia

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Your B12 lab results at the 3-month check should guide this decision

Many people find they diminish over time as the body adjusts