GLP-1 removes it before a replacement is in place
But for new GLP-1 users facing potential muscle and bone loss, its nonnegotiable
What You Eat (and Avoid) The protein list reads like a greatest hits of lean options: chicken and turkey breast, fish, shrimp, eggs and egg whites, extra-lean beef, tofu and tempeh, low-fat Greek yogurt, and cottage cheese
This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation
Additionally, the semaglutide has undergone rigorous trials before becoming FDA-approved, including one published in 2021 in The New England Journal of Medicine