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For those practicing intermittent fasting , administration at the end of the fasting window, just before breaking the fast, provides a strong lipolytic signal during an already optimized metabolic state

Also, people with Lebers disease should not get B12 injections because it could make their condition worse

Simply handing a patient medication is not billable

The addition of semaglutide to this already high-risk group showed further b12 decline, but whether this represents a medication effect, dietary changes from additional appetite suppression, or natural progression of post-surgical deficiency remains unclear