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it does not act like a fat-burning medication in people who already have adequate B12

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For example, eating small meals and prioritizing fiber can help with GI symptoms

Trials with older GLP-1 drugs (liraglutide, exenatide) including the large ADJUNCT ONE and ADJUNCT TWO studies showed modest HbA1c improvements of 0.10.7%, meaningful weight loss, and lower insulin requirements, but also raised early concerns about hypoglycemia and ketosis that kept enthusiasm in check for years