B12 is one of the nutrients I pay particular attention to because the consequences of untreated deficiency are significant, but it never sits in isolation in the patients I see
Above 10 g/day GI side effects rise sharply with little added benefit
On stopping a daily regime, we recommend the five day build-back protocol
Considering Danish costs of medications, diabetes consumables, and treatment of diabetes-associated complications, modelling all four trials over a 40-year horizon, these analyses indicated that treatment with either oral or subcutaneous semaglutide (a GPL-1RA) was likely to increase both costs and health benefits relative to empagliflozin, canagliflozin (SGLT-2is), and sitagliptin (DDP-4i) for treatment of patients with type 2 diabetes that is not adequately controlled with metformin (with or without sulfonylurea) in Denmark
The same shedding occurs with any rapid weight loss method including bariatric surgery and crash dieting
A person paying cash sits outside that structure and transacts against a number designed for a different purpose