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" Some patients with stable hypothyroidism may be candidates for GLP-1 therapy after a licensed provider reviews their medical history, lab results, medications, and contraindications

Those with active cancer, cardiovascular issues, severe liver/kidney conditions, or those pregnant/breastfeeding should avoid NAD+

GLP-1 receptor agonists work by mimicking the action of naturally occurring GLP-1, a hormone released from the intestine after eating

Key Takeaways Serum B12 alone misses up to 50% of functionally deficient patients always add MMA for confirmation The optimal longevity range for serum B12 is 500900 pg/mL, far above the standard lab cutoff of 200 pg/mL B12 deficiency progresses through four stages, from depleted stores to irreversible neurological damage Methylcobalamin is the preferred supplementation form for most people

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Shifting your mindset around food and weight loss is also crucial