The correct approach: Test serum B12, MMA, and homocysteine not just serum B12 Use the functional cutoff of 500 pg/mL for optimal status, not the labs lower limit of 200 pg/mL Identify the cause diet, malabsorption, medication, or autoimmune Match the supplementation protocol to the cause and severity Retest to confirm response, and continue monitoring if the underlying cause persists If youre over 50, vegan, taking metformin or PPIs, or experiencing unexplained fatigue, brain fog, or neuropathy get tested
Muscle Preservation: Exercise helps you maintain lean muscle mass while losing weight, ensuring that most of your weight loss comes from fatnot muscle
We want their leptin sensitive
Semaglutide, marketed as Ozempic for diabetes and Wegovy for weight management, represented the gold standard for single-receptor GLP-1 therapy
Effect of sarcopenia on mortality in type 2 diabetes: a long-term follow-up propensity score-matched diabetes cohort study