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Lotte Bjerre Knudsen, a Novo Nordisk researcher, saw that data and thought that GLP-1 looked like it turned off appetite just as well as it could crank up insulin secretion

One study by Chang et al

Theres also the possibility that your B12 deficiency itself keeps progressing

Still, as more entrants bring new GLP-1 or multi-agonist drugs to market, the competitive pressure is likely to increase potentially improving affordability and access for a broader patient population

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This is a hereditary condition and occurs in Australian Shepherds, Border Collies, Chinese Shar-Peis, Beagles, and Giant Schnauzers