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You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well

If GLP-1 related fatigue persists beyond two months, discuss dose adjustment with your prescriber

Your B12 level at diagnosis (as far as I can tell without the reference ranges) looks very low

The severity peaks during dose escalation for a physiological reason: receptor density in the area postrema exceeds that in peripheral tissues, so central effects hit harder and faster than metabolic benefits