Naperville Internist offers both options
Neurological manifestations are particularly concerning and may include peripheral neuropathy with paresthesias (tingling and numbness in hands and feet), ataxia, impaired proprioception and vibratory sense, cognitive impairment, memory loss, and in severe cases, subacute combined degeneration of the spinal cord
448 The NAD + biosynthesis regulated by NAMPT in adipocytes plays an important role in the pathogenesis of obesity-related metabolic complications
carnitine L.tartarate) Indications: L-Carnitine is used to treat carnitine deficiency
To be eligible, patients must: Be 18 years or older and not pregnant Have a Body Mass Index (BMI) of 30 kg/m to qualify for any of the medications, or Have a BMI of 27 kg/m with at least one weight-related risk factor (e.g., high blood pressure, type 2 diabetes, high cholesterol) to start Phentermine, Phentermine +Topiramate, Metformin, or compounded Tirzepatide, or Have a BMI of 25 kg/m with at least one weight-related risk factor (e.g
for the single-molecule multi-agonist story, see Triple Agonist Peptides Explained