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Differential diagnosis: Infiltration, mononuclearwell demarcated

Obesity changes your muscle 'engine type': Excess weight shifts muscle fiber composition, reducing efficient, fat-burning Type I fibers and increasing less efficient, fatigue-prone Type IIx fibers, worsening metabolic flexibility

Your healthcare provider may also recommend periodic lipase testing if pancreatitis is suspected, though routine monitoring is not indicated

Vitamin B12 (1,000-2,000 mcg daily) supports energy production, neurological function, and red blood cell formation

Empower Pharmacy specifically chose methylcobalamin for their semaglutide orally disintegrating tablet (ODT)