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Combining treatments is a common strategy in medical weight loss, but it should always be done under the supervision of a healthcare provider
If you are not deficient, I believe it is safe to take a B12 supplement at a lower dose
Dependent on Digestive Health Individuals with intrinsic factor deficiency or severe malabsorption may not absorb enough B12
Vitamin B12 deficiency has been linked to fatigue, tingling or loss of feeling in the extremities, irritability, memory impairment, depression, anemia, irritable bowel syndrome (IBS), constipation, poor wound healing, dry or damaged looking skin, and neurological disorders
Tirzepatide/B12 starts at $45 for the 12 mg starter vial