combo of training and life) Poor diet Lack of b12 sources in diet Poor digestion, hindering absorption Heartburn drugs can interfere (because we need acid to absorb B12) While the websites will define for you how much too take and how often, I just felt the recommendation was too high and stuck to taking it once a week for the first round

Key facts about GLP-1-related gastroparesis: How it happens: GLP-1 drugs slow gastric emptying as part of their mechanism, but this effect becomes excessive in some people Whos at risk: Those with pre-existing digestive disorders, prior gastric surgery, long-standing diabetes, or elderly patients face higher risk Timeline: Symptoms can appear at any point during treatment, especially during dose increases Reversibility: Most cases improve after dose reduction or medication discontinuation, with recovery taking days to several months Management options: Dietary changes (smaller, low-fat meals), slower dose escalation, supportive medications, or temporary drug cessation Seek immediate medical attention for severe vomiting, dehydration signs, intense abdominal pain, or blood in vomit or stool
Does a structured reduction work better than abrupt withdrawal, and for whom
The evidence strongly suggests yes - particularly for autoimmune thyroid diseases like Hashimoto's thyroiditis