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Use 5,000 mcg daily of sublingual methylcobalamin, taken in the morning away from thyroid medication
If you experience subjective energy improvement, continue oral
These starter doses are usually insufficient to produce noticeable appetite reduction, which can confuse patients who expect immediate results. The first 4-8 weeks on GLP-1 medication represents an adjustment period where your experience might differ significantly from long-term expectations
You must supply the muscle-preservation stimulus through diet and training
Realworld timelines vary depending on the specific peptide, dose, adherence, and how well nutrition, movement, and sleep are addressed alongside the medication
Thus, anyone taking antacid and/or acid blocking medication such as PPIs, will have their B12 absorption inhibited
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