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At minimum, check metabolic panels, liver function, lipid profiles, and fasting glucose before starting and every 8-12 weeks during combination therapy

People who are more insulin-resistant need a higher dose of insulin to maintain their blood glucose levels within the normal range

In severe cases, a vitamin B12 deficiency can lead to neurological damage and even death

However, maintaining B12 status during aggressive weight loss prevents the potential complication of developing new deficiencies while correcting obesity-related metabolic dysfunction

This makes it especially helpful for people who have struggled with resistant fat in areas like the abdomen, hips, or thighs

Antimicrobial and Nutrient Therapy in Veterinary Medicine