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Reduced food intake can lower nutrient intake, but B12 need should be based on diet, symptoms, metformin use, surgery, gastrointestinal disease, and laboratory assessment rather than the GLP-1 medication alone

Symptoms include persistent fatigue and low energy, brain fog and poor concentration, low mood, anxiety or depression, memory problems, tingling or numbness in hands and feet, poor sleep quality, weakened immune function and hair thinning and loss

NOTE: A hydroxy acid exfoliator (such as Lactic Power 10) or Skin Biology Microdermabrasion Cloth can be used at opposite end of the day to improve skin cell turnover and smooth crepey areas

The following are suggested dosages, depending on the condition of the animal and the desired response