The sudden increase in B12 can cause nausea, dizziness and headaches when first injected into the muscle
significant or rapid elevation warrants investigation For patients with known or suspected fatty liver disease, a FIB-4 score (calculated from ALT, AST, age, and platelet count) can help stratify fibrosis risk non-invasively If gallstone risk is elevated particularly in rapid responders with significant early weight loss discuss whether ultrasound surveillance or ursodeoxycholic acid prophylaxis is appropriate Ask: "Do you have any concern about my liver function specifically, and should we track gallstone risk given how quickly I'm losing weight?" Question 8: Are There Any Vitamin or Nutrient Deficiencies I Should Watch For
Registered dietitian Sarah Nash advises: "I encourage clients to prioritize consistent meals with protein, fiber, and healthy fats, as well as avoid skipping meals, stay well-hydrated, and evaluate their sleep habits." Stick to a schedule eat by the clock, not your hunger cues
It is unknown whether GLP-1 receptor agonists are associated with thyroid C-cell tumors, including MTC in humans
