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Summary: B12 injections are not clinically indicated or effective for weight loss in individuals with normal B12 levels

As of her last visit, she had lost 40 pounds of weight and feels the best she has in years. Her PPI was discontinued, and her asthma therapy was reduced from triple therapy to moderate-dose ICS/LABA and subsequently to low-dose ICS/LABA, with no recurrence of any asthma or gastroesophageal reflux symptoms

Take levothyroxine on an empty stomach immediately upon waking, wait 3060 minutes before eating or taking any other oral medications, and then take semaglutide (if you use the oral form) at least 30 minutes after your levothyroxine absorption window has closed