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If a plateau coincides with being early in the ladder, the answer is usually to complete the next scheduled step as tolerated rather than jumping doses
This means it stimulates GLP-1 receptors to reduce appetite and enhance insulin secretion, while blocking GIP signaling, which may help prevent fat storage
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The doctor will order measurement of serum B12 levels, as well as other markers such as folate, homocysteine, and methylmalonic acid (MMA) levels, which are increased in B12 deficiency
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