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GLP-1 receptor agonists: reminder of the potential side effects and to be aware of the potential for misuse

Because it is water-soluble , your body absorbs what it needs and excretes any excess through urine

If heartburn has been well-controlled at 10mg with your management protocol, adding a slightly more aggressive version of the same approach (perhaps adding melatonin or switching from H2 blockers to PPIs) often handles the 12.5mg and 15mg transitions

Ketorolac ( Toradol ) A non-steroidal anti-inflammatory drug(NSAID) that provides short-term treatment of moderate to severe acute pain

How to supplement when B12 tests are high Be sure you remove all sources of synthetic cyanocobalamin from your diet (supplements & fortified foods) Consider supplementing with iodine, selenium, and molybdenum which helps activate B2 (a B12 transport helper) Consider supplementing with an active B2 form (Riboflavin-5-Phosphate) - a B12 transport cofactor Consider taking intrinsic factor which helps the gut better absorb B12 Consider pulsing 4.5 mg of lithium orotate (2-3x per week) - helps the B12 transport Only supplement with bioidentical active B12 forms - hydroxocobalamin, methylcobalamin, adenosylcobalamin I know my specific COMT & VDR Taq gene details