It is a dual GLP-1 and GIP receptor agonist, meaning it activates two incretin hormone pathways simultaneously
Your doctor may: Monitor serum B12 levels Evaluate homocysteine and methylmalonic acid (MMA) Check complete blood count (CBC) Assess for symptom improvement (fatigue, cognitive clarity, neuropathy) Symptoms like improved energy, mood, and focus typically appear within days to weeks
With the rest of the B vitamins, B12 helps by converting what we eat into glucose, our body relies strongly for energy
They work best as part of a comprehensive program that includes dietary modifications, exercise, and in many cases a primary weight loss medication such as semaglutide or tirzepatide
Each injection remains 3.2 mg while frequency falls