It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them
When you drink alcohol, your body rapidly depletes vitamin B12, a vital nutrient responsible for energy production, brain function, and nervous system balance
Reduce or hold the dose if flushing, nausea or other GI effects occur
As you age, your GH levels go down, which can lead to frustrating symptoms, like weight gain, muscle loss, and trouble sleeping
B12 shots can range from $25 to $150 a pop