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The problem with ulcerative colitis is that you get a lot of inflammation, very high cell turnover, he added
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
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B12 is absorbed less efficiently in the stomach when alcohol is in the picture, and the liver, which stores B12, can be damaged by ongoing alcohol use, disrupting that storage process
But Cant You Overdose On B12
Intramuscular injections may be preferred for deeper absorption , while subcutaneous options may offer ease of use in at-home settings when clinically appropriate
