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Longer cycles (12+ weeks) may require extended washout periods (68 weeks) to fully reset metabolic pathways

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Persistent fatigue or weakness Numbness or tingling in hands and feet Memory lapses or brain fog Brittle nails or hair loss Who Needs to Watch Their B12 Levels Closely

Key takeaways include: Obesity drug coverage in Medicaid remains limited, with 13 state Medicaid programs covering GLP-1s for obesity treatment under fee-for-service (FFS) as of January 2026

- Other less frequently reported side effects include hot flushes, dizziness and nausea