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The original poster's symptoms sound like normal B12 neurological recovery symptoms to me - similar to those experienced by me and many others here

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Effects of SGLT2 inhibitors on systemic and tissue low-grade inflammation: the potential contribution to diabetes complications and cardiovascular disease

It also means cagrilintide could potentially be an option for people who dont respond well to GLP-1-based medications, or who experience side effects that make GLP-1 drugs hard to tolerate

doi: 10.1080/00498250010021684, 21

By supporting glutathione levels through diet, lifestyle, and targeted interventions, we can enhance our skin's natural ability to maintain hydration and achieve the radiant complexion that water alone cannot provide