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There are two reasons people become deficient in vitamin B12: They dont eat the proper foods or take supplements Their bodies cant absorb enough B12, no matter how many good foods or supplements they consume When someone lacks the right amount of vitamin B12, they usually start to develop the following symptoms: Anaemia Difficulty walking properly Cognitive issues (struggling to think clearly, for example) Fatigue Constipation Irritability Changes in vision Numbness and/or tingling in the feet, legs, and hands An inflamed tongue Any of these can interfere with your quality of life and impair your most basic functions
The studies using animal research showed that GLP-1 drugs helped reduce cravings for several substances by affecting dopamine pathways
oral semaglutide $289/mo month-to-month, or from $249/mo on the 6-month plan
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Why Blood Sugar May Not Be Very High In classic DKA: Insulin deficiency severe hyperglycemia In euglycemic DKA: Some insulin is still being administered Blood glucose may appear only mildly elevated But insulin is insufficient to prevent ketogenesis This can delay recognition because: Patients and clinicians may not suspect DKA with glucose under 250 mg/dL Symptoms may initially resemble dehydration or GI illness Additional Contributing Factors GLP-1 use in Type 1 diabetes may also increase DKA risk due to: Vomiting dehydration stress hormones ketone rise Intentional insulin reduction due to fear of hypoglycemia Reduced basal insulin during weight loss Increased glycemic variability from delayed gastric emptying Hypoglycemia and the Insulin Reduction Trap Another issue is the cycle that can develop: Appetite decreases Insulin dose is reduced Hypoglycemia occurs intermittently Insulin is reduced further Ketone production increases Over time, this can push the patient into metabolic instability
