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Because of this, early recommendations often advised stopping GLP-1 medications before surgery

This is not the same as saying GLP-1 medications cause muscle wasting. What the evidence actually shows is that rapid weight loss without adequate protein intake or resistance training can lead to meaningful lean mass reductions alongside fat loss

Fatigue is common and can be caused by many things, including: Iron deficiency Low vitamin D Thyroid issues Poor sleep quality or sleep apnoea Stress and burnout Low mood/anxiety Dietary patterns and hydration Long-term conditions Thats why we always recommend basing B12 treatment on clinical context, and ideally blood test results, rather than guessing

Peptides activate specific receptors or biochemical pathways in the body, leading to the desired therapeutic effects