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Step 2 Get Cleared GFE (~5 min, new clients)

Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded

Controlled studies using validated appetite scales showed decreased hunger, increased satiety and reduced prospective food consumption scores with GLP-1 treatment, which translated into lower energy intake and weight reduction