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Greibe E, Trolle B, Bor MV, Lauszus FF, Nexo E (2013) Metformin lowers serum cobalamin without changing other markers of cobalamin status: a study on women with polycystic ovary syndrome

Muscle loss concerns: Research shows that roughly one-quarter to one-third of weight lost on GLP-1 agonists comes from lean body mass rather than fat

Some protocols use both together for 4-6 weeks, then taper

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