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(pyruvate acid) (lactic acid)

The cumulative effect over multiple cycles can exceed what any single cycle achieves

The B12 in your compounded formulation should keep serum B12 levels adequate in most cases, but "most cases" is not "all cases." Verify with bloodwork rather than assuming

Brandt S, Ballhause TM, Bernhardt A, Becker A, Salaru D, Le-Deffge HM, et al

None are randomized controlled trials

GLP-1 medications can help manage type 2 diabetes and obesity, but they may cause short-term mild-to-moderate side effects such as nausea, vomiting, diarrhoea, constipation, bloating, and decreased appetite, particularly at the beginning of treatment