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They can evaluate you, look at a blood sample, and determine whether you have a deficiency

If you have symptoms of deficiency or risk factors such as metformin use, speak with your GP about appropriate testing and treatment

(PubMed) Beydoun MA, Beydoun HA, Gamaldo AA, Teel A, Zonderman AB, Wang Y

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Proper injection site rotation and monitoring for tirzepatide's gastrointestinal effects remain essential

Additionally, B12 is essential for the conversion of homocysteine to methionine, preventing the accumulation of homocysteine, which is associated with cardiovascular risk