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2024;22(6):1226-37 e14
Calories: 380410 Protein: 2530g GLP-1 Tip: Chickpeas add creaminess + fiber blend very well
Conditions include alcoholic liver disease, viral hepatitis, cirrhosis, and primary or metastatic liver cancer Renal dysfunction : Impaired kidney function reduces B12 elimination, causing accumulation even with normal intake Haematological conditions : Myeloproliferative neoplasms, chronic myeloid leukaemia, polycythaemia vera, and hypereosinophilic syndrome increase transcobalamin production, elevating total serum B12 Laboratory interference : Macro-B12 (immunoglobulin-bound B12) and assay interference can cause spuriously elevated results without true excess In clinical practice, unexplained hypercobalaminaemia should prompt investigation for underlying disease, particularly in patients without obvious supplementation history
One such example of this would be putting together a multi-vitamin, pre-workout supplement, and protein powder
Wegovy is not recommended in patients with severe gastroparesis Hypersensitivity Reactions: Serious hypersensitivity reactions (e.g., anaphylaxis, angioedema) have been reported with Wegovy
Second, and more importantly, it can prevent complete bladder emptying
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