If constipation becomes a problem despite preparation, options worth discussing with your clinician include: A gentle osmotic laxative such as polyethylene glycol (MiraLAX) used on a scheduled rather than as-needed basis during dose escalation periods
High levels of B12, or hypercobalaminemia, can be a sign of tissue breakdown, which releases B12 back into the bloodstream
This is the same as we recommend for anyone following a dietary regimen, but more so if you are on GLP-1 medications, since they can notably affect hydration status"
it also activated the insulin signalling pathway in beta cells, thereby restoring their function and leading to remission of diabetes [101]
According to an IQVIA article, by mid-2025, GLP-1s made up more than half of all diabetes prescriptions and 23% of all first-line starts (up from 3% in 2021), displacing metformin and other cheaper generics that historically start the diabetes treatment journey