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It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them

If there are excess vitamin B12 left, it will be stored in the liver for future use

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Lyophilized: Store at 28 C (35.646.4 F)