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Long-term deficiency can damage the protective myelin around nerves, and if it is not addressed, some of that damage can become permanent, causing numbness, pain, and balance problems

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Pre-existing inflammatory bowel disease seems to bear more feline relevance so treatment in that direction seems more appropriate (steroids, antacids, low residue diets, or hypoallergenic diets)

These contraindications apply to all GLP-1 agonists and extend to combination protocols

This pathways is better described as research or frontier option than a go-to clinical decision in comparison to injection-based peptides options