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Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

Nerve conduction studies or electromyography are typically reserved for atypical presentations or diagnostic uncertainty

Treatment with Zepbound follows a gradual dosing plan: Starting Phase: The healthcare provider begins you on the lowest effective dose to minimize side effects

These effects are dose-dependent and typically resolve within 48 weeks as GLP-1 receptor density downregulates in the gut