Most patients begin at 2.5 mg weekly for four weeks, then move up through 5, 7.5, 10, 12.5, and a maximum of 15 mg as needed
When your digestion slows down due to a GLP-1, your levothyroxine may sit in the stomach longer
Think of it as your bodys adjustment period
Cyanocobalamin is indicated for Vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacterial overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
Variables such as genetics, lifestyle, and existing health issues play roles, underscoring the need for personalized medical advice