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Pregnant or Breastfeeding Women: B12 is essential for the baby's and mother's health
Every 3 months during maintenance: fasting metabolic panel, PHQ-9, menstrual cycle regularity assessment, body composition review (waist circumference or DXA at 12 months), medication reconciliation
Physical capacity often improves alongside weight loss
Cigna may require step therapy, meaning patients must try a less expensive medication such as Contrave before the insurer approves a GLP-1 agonist
The test reveals predispositions in GIPR, and related pathways, which may provide context for hormone sensitivity
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