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While tirzepatide does not directly affect B12 absorption like metformin, reduced intake of animal productscommon during appetite suppressionmay lead to inadequate B12 levels
Thats why we often went with the plate approach
Adjust ADLs to fit the clients tolerance
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The initial local anesthesia which usually takes 10-20 minutes is the only sensation for the treatment, most individuals rate the discomfort level as a minimal 3 out of 10 sensation
