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Patients who already qualify for GLP-1 therapy and would like additional support Individuals with suboptimal B12 levels or risk of deficiency Those who prefer combining metabolic and micronutrient therapy Patients fully committed to close medical oversight and follow-up However, its not recommended if you have contraindications to GLP-1 agents, are pregnant, breastfeeding, have uncontrolled GI disease, or cannot adhere to monitoring and follow-up

While these typically subside within a few days, you should always notify your doctor just in case, Wirtz says

A person who can absorb dietary B12 can eat meat at any time

Hydrate well to minimize any side effects of medications and diminish water retention

325 As shown in both Table 5 and Figure 6, states and counties in the eastern and southeastern U.S

While our bodies can store B12 for years, some groups are more susceptible to deficiency, often because of absorption issues rather than diet