Typically, when dealing with other growth hormone-releasing peptides, they affect the levels of cortisol or prolactin
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Cagrilintide (an amylin analog) does not have significant direct cardiac effects, making it a relatively safe cardiovascular combination
But as people age, they may have a harder time extracting B12 from their food, which is why doctors sometimes recommend a B12 supplement, preferring methyl B12, the natural kind Attia takes, because it's easier on the kidneys
Tat J, Heskett K, Boss GR
Investigation of the cysteinyl, glycyl and gamma-glutamyl domains