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Step Two: Go to the doctor and receive specialized vitamin B12 supplements (usually, this involves an injection every day or every other day, which is tapered down to monthly)

Effects on weight are small and inconsistent

Recommended monitoring includes: Complete blood count, comprehensive metabolic panel Vitamin B12, folate, iron studies, vitamin D, calcium, parathyroid hormone Thiamine in patients with persistent vomiting Protein intake assessment and albumin/prealbumin levels Contraindications include personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, as GLP-1 receptor agonists carry a boxed warning based on rodent studies showing thyroid C-cell tumors

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