The progression is not inevitable, and many individuals with simple steatosis remain stable without advancing to more severe disease
The consultation is completed online through a secure intake form, and your provider may follow up with questions
The correct approach: Test serum B12, MMA, and homocysteine not just serum B12 Use the functional cutoff of 500 pg/mL for optimal status, not the labs lower limit of 200 pg/mL Identify the cause diet, malabsorption, medication, or autoimmune Match the supplementation protocol to the cause and severity Retest to confirm response, and continue monitoring if the underlying cause persists If youre over 50, vegan, taking metformin or PPIs, or experiencing unexplained fatigue, brain fog, or neuropathy get tested
Heres a look at the ingredients: Vitamin A (retinyl palmitate): 900mcg Vitamin C (ascorbic acid): 90mg Vitamin D3 (cholecalciferol): 250mcg/10,000 IU Vitamin E (d-alpha-Tocopheryl succinate): 50mg Vitamin B1 (thiamin mononitrate): 5mg Vitamin B2 (riboflavin): 5mg Niacin (nicotinic Acid): 50mg Vitamin B6 (pyridoxal-5'-phosphate): 5mg Folate (L-5-methyltetrahydrofolate): 680mcg Vitamin B12 (methylcobalamin): 100mcg Biotin: 60mcg Pantothenic acid (d-Calcium pantothenate): 15mg Iodine (potassium iodide): 150mcg Magnesium (dimagnesium malate): 200mg Chromium (chromium nicotinate glycinate chelate): 200mcg Molybdenum (molybdenum glycinate): 100mcg Leucine: 483mg Benfotiamine: 5mg The glaring issue here is that you could likely find a similarly formulated multivitamin for less money
When to Work With a Registered Dietitian or Healthcare Provider Given the rapid metabolic and dietary intake changes seen with GLP-1 medications, most people can benefit from working with a Registered Dietitian or a food and nutrition expert
Obesity (Silver Spring) 18 , 4247 (2010)
