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Patient Satisfaction Guarantee If youre deemed ineligible for B12 therapy after consultation with a Nexa Vitality provider, you will receive a full refund

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Conditions apply : All Ontario Drug Benefit recipients on insulin therapy with a valid prescription from a physician or nurse practitioner are eligible to receive ODB-funded FreeStyle Libre sensors

The goal is to use these injections as part of a balanced approach, not as a sole reliance for weight loss

Adding cagrilintide to tirzepatide Theoretical protocol (not clinically studied): If on tirzepatide 10-15mg: Stable on tirzepatide for 4+ weeks Continue tirzepatide at current dose Add cagrilintide 0.6mg weekly Standard cagrilintide titration to 2.4mg Rationale: Tirzepatide is dual GIP/GLP-1 (very powerful alone) Adding amylin pathway could theoretically enhance No clinical data on this combination Uncertain if additional benefit over tirzepatide alone Concerns: GI side effects may be severe (both slow gastric emptying) Tirzepatide already produces 15-22% weight loss alone Unclear if cagrilintide adds meaningful benefit Expensive combination Verdict: Wait for clinical data