are glp 1 pills effective Early studies show that GLP-1 weight-loss aren't as as their injectable counterparts. See more in the link in the comments below Ease your GLP GLP-1s 101: What the science

2023 May 2;146(5):1821-1830

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In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation

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Yes, GLP-1 receptor agonists and naltrexone can be used together for weight management, though this combination requires careful provider oversight and individual clinical justification