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Liver transaminases were significantly reduced after 12 months of PIO therapy, as well as after combination therapy

Saxenda, a prescription-only weight-loss medication, is manufactured by Novo Nordisk

Tests that actually inform decisions: Vitamin D (serum 25-OH vitamin D) B12 (serum B12 and ideally homocysteine or MMA for functional status) Iron studies (ferritin, serum iron, TIBC, transferrin saturation) Full blood count (screening for anemia) Comprehensive metabolic panel (kidney function, electrolytes, liver enzymes) HbA1c and fasting glucose (metabolic health markers) Lipid panel (tracking metabolic improvements) Why dont I recommend blanket supplementation

For those with enamel sensitivity: Use a high-fluoride toothpaste (your dentist can prescribe one)