Weight loss injections, particularly GLP-1 receptor agonists such as semaglutide (Wegovy) and liraglutide (Saxenda), can indeed cause tiredness in some patients
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They can be injected in the same session (separately drawn up, separate syringes), but never mix in the same vial
NAD+ injections' impact on intracellular and compartmental NAD+ pools, however, is not yet known (1)
Strong AP, Haeusler S, Weatherall M, Krebs J (2016) Sublingual vitamin B12 compared to intramuscular injection in patients with type 2 diabetes treated with metformin: a randomized trial
AOD9604 peptide Scientific Research 1