(2019) 317:G203G9
Paradoxical Adipose Hyperplasia (PAH)
If a post-weight-loss patient has a B12 result in that grey zone, I treat it as functionally low and start supplementation
It acts on three hormone pathways at once GLP-1, GIP and glucagon receptors to reduce appetite, slow stomach emptying, and increase energy expenditure
If you experience inadequate response after 1216 weeks at a therapeutic maintenance dose (typically 1015 mg weekly) despite good adherence and lifestyle modifications, consult your healthcare provider to assess for secondary causes, verify proper administration technique, and consider dose optimization or alternative treatment strategies
A guide to antioxidants and wellness can be helpful here, and consuming a diet rich in Vitamin C, Selenium, and Alpha-Lipoic Acid can help your body recycle the glutathione you are taking