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Limit or avoid simple carbohydrates

Its known to be the most effective way to treat a deficiency simultaneously

GLP-1 therapy contributes the gastrointestinal side effects characteristic of the class: nausea (particularly during dose escalation), occasional vomiting, constipation, and reduced appetite that is the desired effect but can be excessive in some patients

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Most patients on semaglutide benefit from 1,000 to 2,000 mcg of B12 weekly or monthly, either oral or sublingual

Remarkably, all 12 patients reported significant improvement in symptoms and none reported adverse effects in the short term