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It is added because it addresses two specific and significant clinical problems that arise from GLP-1 receptor agonist therapy: nausea at treatment initiation and progressive B12 depletion over the course of long-term use

Additional investigations such as vitamin D, B12, thyroid function, or creatine kinase levels may be considered based on clinical presentation

service members should avoid T1 and other peptide hormones, as they are on the military's prohibited dietary supplement list

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doi: 10.1093/stmcls/sxad074 40 WangYWangLMaSChengLYuG