When B12 levels fall, nerves can become damaged or struggle to function correctly which may lead to neuropathic symptoms
Plos One 5:e8666
The evidence applies to symptoms of both early and late dumping syndromes, after peptic ulcer, bariatric and cancer surgeries
Setting realistic expectations is crucial: weight loss is gradual, with clinical trials showing approximately 15% weight reduction with semaglutide 2.4 mg at 68 weeks and up to 21% with tirzepatide at 72 weeks, though individual responses vary considerably
We provide a review of the controversy around prescribing GLP1-RA to children and adolescents, outline existing research on GLP1-RA and eating disorders with adults, review clinical experience with pediatric populations with comorbid eating disorders and obesity treated with GLP1-RA, and provide initial guidance to providers prescribing GLP1-RA in the absence of established research studies
The drink is still the drink, but the payoff is flatter