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Rapid reduction in body fat affects the conversion of T4 to T3, the active thyroid hormone

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Ekta Gupta, chief of gastroenterology at the University of Maryland Medical Center, explains that GLP-1 medications (also known as GLP-1 agonists) mimic hormones that help regulate blood sugar and appetite

A helpful overview of how these medications work is covered in what GLP-1 medications are

If you are otherwise healthy and eat a well-balanced diet that includes foods rich in, or fortified with vitamin B12, it is unlikely that you need additional B12, either as vitamin tablets or injections