During flares: Continuing peptides during flares is generally reasonable
While B12 is important for overall health and energy, it's not typically the go-to for intentional weight gain
Derosa G, Cicero FGA, Gaddi A, Mugellini A, Ciccarelli L, Fogari R: The effect of L-carnitine on plasma lipoprotein(a) levels in hypercholesterolemic patients with type 2 diabetes mellitus
This in turn may mitigate the risks associated with off-brand versions of GLP-1 receptor agonists
FDA-approved medications for chronic weight management include GLP-1 receptor agonists (semaglutide injection, liraglutide), combination agents (phentermine/topiramate ER, naltrexone/bupropion ER), and lipase inhibitors (orlistat)