Riboflavin may be particularly helpful for people with the MTRR G allele.[ref] Additionally, studies show that riboflavin is particularly effective in people who are homozygous for MTHFR C677T (AA genotype).[ref] Related article: MTR, MTRR and more about B12 The B vitamins together: B-complex for the win Many studies show that a combination of folate, riboflavin, and/or vitamin B6 is very effective for lowering homocysteine.[ref][ref] Betaine or choline: Methyl groups to remethylate homocysteine can also be supplied by betaine (also called TMG) or choline in the diet.[ref] Beets are a good source of betaine, and eggs are rich in choline

Personalizing the Approach: Protocols That Work Functional providers can create tailored plans using: Supplement protocols to support appetite, energy, and blood sugar High-protein, nutrient-dense meals to prevent lean mass loss Time-restricted eating for glycemic control and satiety Movement prescriptions for muscle preservation and mitochondrial health Gut support for motility and microbiome balance These strategies help patients experience sustainable resultswhether theyre on GLP-1 meds, tapering off, or looking for a more natural path from the start
Do GLP Patches Work for Weight Loss
Several practical factors may explain fatigue during GLP-1 therapy: Reduced food intake due to appetite suppression can lead to lower energy consumption Gastrointestinal side effects like nausea can be physically draining Adaptation to metabolic changes as your body adjusts to the medication For people with diabetes who take insulin or sulfonylureas (like gliclazide) alongside GLP-1 medications, low blood glucose (hypoglycaemia) may cause fatigue
JCEM 2006)