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Along with poor diet, here are the most common lifestyle issues I see in my Hashimotos patients: Lack of sleep Too much or too little exercise Too much stress (cortisol) Poorly controlled blood sugar If you identify any of these issues as problem areas for you, take steps to improve your lifestyle and work on practicing better self-care

Most physicians recommend either intramuscular B12 injections given monthly, sublingual B12 tablets, or high-dose oral B12 supplements for patients on semaglutide

10.3324/haematol.13122 11 British Columbia (2013)

Quality of life and obesity

These strategies, drawn from clinical evidence and the real-world experience of experienced tirzepatide users, address the most common root causes