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But GLP-1 does more than just regulate hunger and blood sugar

Regarding plasma B12 - this is not the case, serum B12 often remains highly elevated (well over the normal range) even while symptoms return - this is why testing B12 once treatment begins is not recommended

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Gastrointestinal side effectsnausea, vomiting, constipation, or diarrheaare common with GLP-1 therapy and may be compounded if NAD supplements trigger additional GI symptoms in sensitive users