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Diabetes itself increases NAION risk, creating particularly dangerous situations when patients take GLP-1 medications that multiply already elevated baseline risk

Cyanocobalamin (B12) plays a critical role in energy metabolism by aiding in the formation of red blood cells, supporting nerve health, and facilitating DNA synthesis

Multiple randomized controlled trials including the SUSTAIN series demonstrate that GLP-1 therapy improves HOMA-IR (a measure of insulin resistance) and fasting insulin levels independent of weight loss alone

Zheng RH, Bai XJ, Zhang WW, Wang J, Bai F, Yan CP, James EA, Bose HS, Wang NP, Zhao ZQ

Heres what sets our program apart: Expert Supervision: Receive care and guidance from a board-certified bariatric surgeon with years of experience in weight management

Your doctor may consider dose adjustment, slower titration, or switching to an alternative formulation