In people with obesity, that adds up to serious, sustained weight loss around 15% of body weight on average with semaglutide, and up to 17% with tirzepatide
If disrupted, permeation of potentially noxious molecules and organisms from the intestinal lumen can result in a cascade of events including immune activation and inflammation, eventually triggering the development of intestinal and systemic diseases (Fig
If any of these apply to you, the right next step is a conversation with us, not a booking
These findings highlight its dual benefits for both cognition and mood
If you let it go for too long, it can cause problems in your nervous system such as: Vision problems Memory loss A pricking or numbing sensation Difficulty speaking or walking due to ataxia (loss of physical coordination) Damage to your extremities (hands, feet, arms, etc.), particularly your legs Other problems could include Infertility (this should go away with B12 treatment) Stomach cancer Bleeding and infections Damage your heart, brain, bones, and other organs in your body If you're pregnant and don't get enough vitamin B12, your baby is at risk of a serious birth defect called a neural tube defect
Understanding how these medications work inside the full weight ecosystem is an essential part of responsible, trauma-informed care