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Because it is wrong this is not my question this was her rheumatologist question and her question to me this is not my question It's the way you are wording things that is causing the confusion

5-Amino-1MQ Effects on the Body & Why It Matters

9 In some cases, symptoms associated with elevated vitamin B12 levels may actually occur in people undergoing treatment for a vitamin B12 deficiency rather than from excessive intake itself

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

Estrogen has been shown to upregulate endogenous MOTS-c expression in preclinical models, which may partly explain why metabolic deterioration accelerates in perimenopause when estrogen falls precipitously [2]