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He responded that there would be no harm with my beginning monthly injections of B12 alongside my hormone replacement and supplemental vitamin D

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It works by mimicking the action of the endogenous hormone GLP-1, which increases insulin secretion, decreases glucagon secretion, slows gastric emptying, and promotes satiety, resulting in improved blood sugar control and weight loss

Reconstitute, divide into sterile vials, then freeze

Since tirzepatide also slows gastric emptying, this effect can be compounded and worsen digestive upset

For now, I would not call GLP-1 medicines lupus treatments. Instead, they are promising medicines for weight loss, diabetes, cardiovascular risk reduction, and possibly kidney protection in selected patients