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-From here Histopathological examination Before treatment

Many of our patients keep their bands hanging on doorknobs as visual reminders to complete their exercises

Gao et al., 2019)

The large phase 3 EVOKE trials in people who already had mild cognitive impairment or mild Alzheimers did not slow the disease, but the observational signal for prevention is strong, with real-world data from more than a million patients showing that semaglutide users have a 40 to 70 percent lower risk of a first Alzheimers diagnosis than users of other diabetes drugs

If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)