J Liver Res Disord Ther 2:5864
It says discontinuation typically results in weight regain, and uses that pattern as evidence the compounds are addressing an ongoing biological process
However, it requires conversion in the liver to methylcobalamin and adenosylcobalamin before it can be used in enzymatic reactions
The right next step is usually a guided review of current medications, response patterns, and realistic long-term goals
There was no plateau, and in fact it appears longer term trials will probably easily clear 20% weight loss, especially if metformin and/or SGLT2i medications are added on as these can both add another 2-3% extra weight loss when combined with a GLP-1 medication
Other medications worth flagging include nitroglycerin (glutathione may blunt its vasodilating effect), certain antipsychotics, and long term proton pump inhibitors, which reduce stomach acid and impair absorption of cysteine precursors