GLP-1R activation by retatrutide promotes glucose-dependent insulin secretion, suppresses glucagon during hyperglycemia, delays gastric emptying, and reduces appetite via CNS signaling
Those with severe deficiencies may require higher doses of vitamin B12, which can cause side effects including dizziness, headache, anxiety, nausea, and vomiting (Al Amin, 2021)
Vitamin B12 is excreted in the bile and undergoes some enterohepatic recycling
These laboratory abnormalities may progress, may remain unchanged or may be transient with continuing therapy
You can also crush each tablet and add it to their food if that makes things easier
Call your primary care physician or your local pharmacy to find out what your state or local requirements are for disposing of used syringes and needles