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The emergence of NAWE in this patient underscores the importance of considering thiamine deficiency as a potential consequence of GLP-1 agonist-induced appetite suppression and altered nutrient intake or absorption

Switching within class or to a dualincretin agent may help some, but others never recapture early momentum

Intramuscular injection may be clinically preferable to oral supplementation in specific situations: For individuals whose bloodwork shows deficiency or insufficiency in B12, vitamin D, or other measurable nutrients, and who have not achieved adequate levels through oral means

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