For the separate question of whether the sleep effect holds up at all as distinct from this articles question of what was dosed see our companion review, does DSIP improve sleep in the research literature
Upper limit consideration: 5+ sessions per week is generally unnecessary and potentially counterproductive during GLP-1 therapy
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However, evidence from research studies suggests that GLP-1 analogs may also reduce gastric acid secretion, which can impair the conversion of dietary B12 into its absorbable form and decrease binding to intrinsic factor, both of which are necessary for proper absorption