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doi: 10.1136/jnnp.71.1.1
A 50-year-old man accidentally gave himself 50 units instead of 5 units as his first dose for weight loss
When gastric emptying is delayed, alcohol absorption may slow initially, then spikepotentially altering blood alcohol levels unpredictably
The FDA also notes that adverse events from state-licensed 503A pharmacies are likely underreported because these facilities generally aren't required to submit adverse events directly to the FDA - meaning the documented numbers are a floor, not a ceiling
The degree of gastric slowdown varies between individuals and depends on GLP-1 dose
When B12 is part of a supervised effort, it usually works best alongside a clinic's professionally administered B12 and nutrient injection therapy rather than as a stand-alone fix
