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These antioxidants can be derived from whole plants, plant extracts, or isolated components with complete phytochemical profiles
The combination is most useful for patients with one or more of the following: BMI of 30 or higher , or BMI 27 with at least one weight-related condition such as type 2 diabetes, hypertension, or sleep apnea History of fatigue, low mood, or brain fog on previous diets or weight loss attempts Metformin use for type 2 diabetes or pre-diabetes (chronic metformin reduces B12) Long-term proton pump inhibitor use such as omeprazole, pantoprazole, or lansoprazole Vegetarian or vegan diet with limited animal protein intake Adults over 50 , where B12 absorption naturally declines Active strength training or higher physical demands while on a calorie deficit Patients who dont fit any of these profiles can still take semaglutide alone, then add B12 if symptoms suggest it
May 17, 2023
The risk is generally highest during the initial weeks of treatment and following dose increases, with symptoms often improving as the body adjusts to the medication
She believes they can play a supportive role at some point, but early on, when patients are so ill, she doesnt think theyre helpful and often a waste of money
Poor pregnancy outcome for women with Type 2 diabetes
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