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It works by mimicking a GLP-1 hormone in your gut that helps regulate blood sugar, slows digestion, and reduces appetiteoften leading to noticeable weight loss
Have difficulty absorbing B12 through food or supplements
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Although some studies have proposed a link between hydrochlorothiazide-induced hypokalemia and elevated blood glucose levels (Carter and Basile, 2005), the causal mechanisms whereby some diuretics were associated with hyperglycemia or glucose intolerance (Zillich et al., 2006
Tirzepatide: A GIP/GLP-1 Dual Agonist for MASH. The New England Journal of Medicine , 2024, www.nejm.org/doi/full/10.1056/NEJMoa2401943
If that is still too expensive, metformin at $4-10 per month provides modest but real benefits, and phentermine at $15-30 per month offers the cheapest significant appetite suppression available
