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Metformin is well-established as reducing B12 absorption , primarily through interference with calcium-dependent B12-intrinsic factor uptake in the terminal ileum

Personalized Consultation: Each patient undergoes a thorough consultation to assess weight loss goals, medical history, and current medications, allowing us to tailor the most suitable treatment plan

GLP-1, GIP, exendin-4 and liraglutide had suppressive effects on oxLDL-induced foam cell formation, which is linked with the suppression of infiltrated macrophage foam cells in atherosclerotic plaques, resulting in repressed atherosclerotic plaque formation

The insoluble fiber in apple skins helps with digestion and can ease constipation, a common side effect of GLP-1 medications

Consuming nutrient-dense foods with adequate protein, maintaining hydration (1.21.5 litres daily), and gradual dose titration help minimise fatigue