Poor B12 absorption particularly in older adults or those taking proton pump inhibitors is a common risk factor for elevated homocysteine and brain shrinkage (1,2)
Safety Note: Avoid Compounded GLP-1 Products The FDA has raised concerns about unapproved GLP-1 drugs sold online and compounded products using semaglutide salt forms that are not the same active ingredient as approved medications
Severe gastrointestinal side effects: If experiencing significant nausea, vomiting, or abdominal pain from the medication, alcohol will likely worsen these symptoms considerably
Home kits often lack pharmaceutical-grade purity and precise clinical dosage control, significantly increasing the risk of adverse health effects.
But cost, tolerability, side-effect profiles, and individual response all factor in
What qualifies as an HSA- or FSA-eligible expense