Malabsorption Issues: This is the most prevalent reason for B12 deficiency, even for those with B12-rich diets
Additionally, there have been reports of worsening diabetic retinopathy in patients with pre-existing disease, possibly related to rapid glycemic improvement
From there, our clinical team builds a customized program that may include GLP-1 weight loss medications such as semaglutide or tirzepatide, hormone replacement therapy, testosterone optimization, advanced metabolic testing, nutrition strategies, and ongoing one-on-one coaching
2018;17(3): e12728
Prescription medication interactions: Several botanical and amino acid ingredients may interact with prescription medications
Diabetes Care 34 , 314319 (2011)