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[57] High serum levels may caused by supplementing with vitamin B 12 , present of antibodies to intrinsic factor, or due to underlying condition

During the significant caloric restriction that often accompanies tirzepatide therapy , maintaining adequate B12 levels helps prevent the profound fatigue that can derail a weight loss program

Vibanco-Prez N et al

What to Expect: More stable energy throughout the day Improved exercise performance and recovery Better stress tolerance Still minimal weight changes Research Context: Studies show NNMT inhibition improves cellular energy expenditure within 2-4 weeks

And how did this compare to fish oil supplementation

Seal the container when full and follow your local regulations for hazardous waste disposal