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While menstrual irregularities were not systematically reported as adverse events in published results, the substantial weight loss achieved (approximately 20.9% with the 15 mg dose) would be expected to influence reproductive hormone dynamics in premenopausal women based on established weight loss physiology

Safety, Side Effects, and What to Expect The water-soluble nature of methylcobalamin means it has an excellent safety record, even at higher doses

Some insurance companies list GLP-1 medications used for weight loss as a coverage exclusion, which means that even if a patient meets FDA-approved criteria and would benefit from using the medication, the plan will not pay for the medication, she says