Despite the variation between studies, lipid export in NAFLD seems to be biphasic, initially increasing followed by a plateau or even decrease
They can also influence those involved in pleasure, motivation, reward, and sexual behavior
If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae
"In order to see the results demonstrated in studies, GLP-1 medications should be combined with dietary and lifestyle interventions," says Samantha Flanagan, DO, an obesity medicine specialist with Temple Health in Philadelphia
They even have meals tailored to people taking GLP-1 medications, featuring nutrient-dense, higher-protein options vetted by nutritionists