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If you're using an oral GLP-1 formulation, timing between doses and blood work monitoring may be recommended

Bacterial imbalances and infections (including bacterial, viral, fungal, and parasitic) can stimulate an activation of the immune system which can lead to autoimmunity due to: molecular mimicry, epitope spreading, bystander activation, and presence of cryptic antigens

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When done properly, B12 shots are very safe and theyve been used in medical care for decades