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If you suspect a B12 deficiency or have ongoing symptoms, seek appropriate medical evaluation and lab-guided care

Thiamine also supports immune function and nervous system health

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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

Systemic lupus erythematosus (SLE) and rheumatoid arthritis have been noted in case reports