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As the medication works by mimicking the GLP-1 hormone, it helps regulate hunger signals in the brain, leading to reduced cravings and increased satiety

Your stomach capacity doesn't shrink, but your brain's perception of hunger changes fundamentally

The Philadelphia-based insurance group, which operates in 32 states and Washington D.C., also saw less profitability in its Medicaid and Medicare programs as the cost of care outpaced rate increases last year

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Mayo Clinic 2014a

A very few naturopaths or functional medicine doctors may be using methylcobalamin or hydroxocobalamin in an IV or shot scenario