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High vitamin B12 levels are not typically dangerous in themselves, as B12 is water-soluble and excess is naturally excreted

While Omada and Express Scripts analysis saw a positive relationship between high engagement in the Omada for Prevention program and weight loss for those taking GLP-1s, a few points remain unclear: Should participation in a behavior change program be required alongside GLP-1s

it increases side effects and waste

The required Ro Body Membership ($149/month) is added on top, bringing the effective total to roughly $448$598/month

Thyroid hormone balance is delicate

B12 deficiency can mimic GLP-1 side effects like fatigue and brain fog, making it difficult to distinguish medication effects from nutritional deficiency without testing