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While vitamin B12 injections do help with inflammation as well as nerve and muscle regeneration, patients should be aware that the results may not be as fast or dramatic as with corticosteroids

Post-Treatment Recommendations: Drink 23 liters of water daily

Ive observed that there are 5 obstacles patients experience with these medications as treatments for obesity and diabetes: Cost of the meds Side effects and tolerability Fear of needles Concerns about safety The moral failing of needing a medication Oral GLP1 drugs like orforglipron (Foundayo) and Wegovy work almost as well as the injectable version of these drugs The FDA just approved oral Foundayo for the treatment of obesity based on the results of the ATTAIN-1 trial, recently published in NEJM

Medical data proves that gastrointestinal distress is a standard physiological response to GLP-1 titration and not a sign that something is wrong

It also will not impact Cigna workers whose drugs are covered to treat type 2 diabetes