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Thyroid function tests and hemoglobin A1c should also be reviewed, as both thyroid disorders and poorly controlled diabetes can contribute to neuropathic symptoms
Others suggest that daily oral B12 supplementation provides more consistent levels and avoids the risks of combining it with the peptide altogether
They may suggest a temporary dose reduction
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It's important to keep this in proportion: very little is known about sexual dysfunction as a side effect of GLP-1 agonists, and much of the current evidence comes from case reports
