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In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up

You will likely notice reduced appetite suppression compared to your peak tirzepatide effect, particularly during weeks two through four after switching

These are not my words they're the words of a rheumatologist

Side effects may include diarrhea or headaches, and be sure to tell your doctor about these if they become bothersome

Early intervention and addressing deficiencies are key to maintaining healthy bodily function