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Description
dual GLP-1/GIP agonists such as tirzepatide move LDL only modestly

Peptide growth factors in the intestine

Start at 0.1-0.25 mg rather than 0.5 mg

The addition of B12 addresses this metabolic shift directly
Individuals who are at risk of vitamin B12 deficiency include: Frequently Asked Questions What does vitamin B12 injections do for you

due to ageing or through acid-lowering medication), or bariatric surgery, lack of pancreatic enzymes, small intestinal bacterial overgrowth, certain intestinal parasites or dysfunction of the small intestine (e.g
