Do not discontinue prescribed B12 treatment without medical guidance , particularly if it has been recommended to address confirmed deficiency
One randomized double-blind placebo-controlled study found that GHRH analogs, including tesamorelin, increase the concentration of GABA (gamma-aminobutyric acid) and decrease myoinositol levels [7]
PMID 10611280
But yet they have two diseases in essence, and we not only need to get the weight loss that will improve glycemic control, but we need the weight loss that will address many other obesity-related complications that even patients without diabetes will have
Treatments should only be performed by experienced professionals to ensure proper technique, safety, and patient satisfaction
Patient-specific factors that may increase risk include recent dose escalation, higher doses, significant gastrointestinal symptoms, diabetes-related gastroparesis, and autonomic neuropathy