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Evidence strength: Limited direct GLP-1 data
It starts low to reduce nausea and other stomach side effects while your body adapts to slower digestion signals
This allows use of specialty pharmacy networks, negotiated rates, and streamlined distribution
Caution should be used if increasing to 10 mcg
The medication significantly slows gastric emptying, which is central to its therapeutic mechanism but may potentially alter the normal digestive processes required for B12 liberation from food proteins and subsequent binding to intrinsic factor
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