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neurological involvement requires more frequent maintenance dosing
Switching to a compounded formulation that includes B12 alongside the semaglutide addresses the deficiency directly, and fatigue improves by week six
However, this approach is off-label and not routinely recommended by NICE
The glucagon component specifically promotes lipolysis, hepatic fatty acid oxidation, and elevated energy expenditure pathways that single and dual-agonist compounds do not directly modulate
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