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Laboratory evaluation typically includes serum vitamin B12 levels, with values below 200 pg/mL generally indicating deficiency and levels between 200-300 pg/mL considered borderline, though laboratory reference ranges may vary

[3] [2] Patients experiencing persistent or severe fatigue while taking tirzepatide should consult their healthcare provider for proper evaluation

This is easier on the digestive system and more compatible with reduced appetite

Starting dose Most patients start at 2.5mg per week, which is the standard initial dose for compounded tirzepatide

Denise especially appreciated how Shay clearly explained every step, shared what products would be used, and provided thorough aftercare instructions, helping Denise feel confident, informed, and at ease throughout