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By targeting both pathways, it provides a double-signal to the body to manage blood sugar and signal satiety (the feeling of fullness)

Our injections use hydroxocobalamin, the form recommended by the NHS for treating B12 deficiency anaemia

Semaglutide reduces appetite and improves insulin sensitivity from a hormonal perspective, while low-carb eating minimizes blood sugar fluctuations that trigger insulin overproduction

When constipation appears after a dose increase, clinicians advise pausing escalation and extending the current dose for an extra week or two while tracking one habit change at a time to see which tweak actually helps