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You may also have another person or a caregiver inject the drug into your upper arm

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This is standard practice across most telehealth weight loss platforms

Check B12 levels at baseline and every 6 months
This does not mean it is ineffective
These hormonal changes can influence: Ovulation Menstrual regularity Cycle length Bleeding patterns Women who lose weight quickly may experience temporary disruptions in their menstrual cycle before hormones stabilize