Emerging evidence has raised concerns about potential adverse mental health effects associated with GLP-1 medication use, including increased psychological distress or suicidal ideation in some users, although data are currently limited and inconclusive [54, 55]
In this case, getting a blood test after taking high regular doses of adenosylcobalamin and methycobalamin oral B12 might be a good option to try
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However, those questions remain largely unanswered at the human level
Plasma palmitate tracer oxidation improved significantly in OAG, but acetate tracer oxidation did not differ between YA and OA before or after supplementation (Table 1