These include: Age and overall health status Severity of Vitamin B12 deficiency Presence of underlying medical conditions, such as gastrointestinal disorders Concurrent medications that may interact with Vitamin B12 For example, older adults or those with severe deficiencies might need more
(The exception is Zepbound, which also comes in a vial.) Its easier to microdose using compounded GLP-1 drugs, which are packaged in a vial with a syringe that makes it possible to determine your own dose
Hypoglycemia (low blood sugar) can occur, particularly if you're taking GLP-1 medications along with insulin or sulfonylureas
It's a direct chemical reaction
Diabetes and frailty: an expert consensus statement on the management of older adults with type 2 diabetes
Hard, Dry Stools People with constipation due to any cause often have dry, hard stools that are difficult or painful to pass