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Given the patient’s history and physical examination, coupled with a low vitamin B1 level and rapid correction in glycemic control, the most likely explanation for this patient’s presentation was thiamine deficiency and concurrent lumbosacral polyradiculopathy associated with treatment-induced diabetic neuropathy (TIND)
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Many people find that the behavioral changes learned during semaglutide therapy—portion awareness, protein prioritization, and blood sugar stability—continue naturally even after medication discontinuation
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