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Then, when the FDA began allowing compounding pharmacies to make GLP-1s because of the shortage in 2022, doctors could request smaller custom doses, which is how Dr

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The result is a gradual depletion of B12 stores that can take months to become clinically apparent but may cause fatigue , dizziness , and neurological symptoms long before a blood test catches the deficiency

[11] [12] These cardiovascular benefits have influenced treatment algorithms, with guidelines recommending GLP-1 receptor agonists with proven cardiovascular benefit for patients with type 2 diabetes and atherosclerotic cardiovascular disease