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Other GLP-1 receptor agonists should not be used at the same time as semaglutide

A functional medicine provider looks at the bigger picture and addresses issues like: Hormone imbalances (such as estrogen dominance, low testosterone, or thyroid dysfunction) Insulin resistance (which makes it harder to burn fat) Chronic inflammation (which can block weight loss) Nutrient deficiencies (which can slow metabolism) By addressing these factors, you can make the weight loss from GLP-1 medications more effective and sustainable

Additionally, excessive alcohol consumption can affect vitamin B12 absorption and metabolism, potentially reducing the efficacy of the cyanocobalamin component

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