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17 Current Nutrition Guidelines: There is no standardized GLP-1 diet plan for individuals using these medications

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If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

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Less Common but Serious Concerns Gallbladder disease Pancreatitis (rare) Dehydration from persistent nausea At Florida Endocrinology and Diabetes Center, careful titration and monitoring minimize these risks