For diabetes management, alternatives include SGLT-2 inhibitors, DPP-4 inhibitors (which should not be combined with GLP-1 medications), metformin, and insulin when necessary
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Cancer Cell 22 , 547560 (2012)
And yes, you're right about the B12 levels fluctuating....depends on where you are in the injection cycle, how much exercise / activity you have been doing, infection, medication, stress....and a whole host of other things
The National Institutes of Health state that glutathione helps to protect the cells against oxidative damage and facilitates the metabolism of the liver and immune system
All of the plaintiffs got NAION or non-arteritic anterior ischemic optic neuropathy after taking GLP-1s