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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

But the best medication is the one you actually take consistently, month after month, without financial strain or intolerable side effects derailing your progress

GLP-1 medications suppress appetite and regulate glucose

The spectrum of MASLD ranges from simple steatosiswhere fat accumulation causes minimal inflammationto metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH), characterized by inflammation and liver cell damage that can progress to cirrhosis

Pregnancy and breastfeeding, unless specifically cleared by a physician due to unknown effects