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[DOI] [PubMed] [Google Scholar] 35.Zapata-Prez, R

Yes, tirzepatide can indirectly cause menstrual irregularities through significant weight loss and metabolic changes that affect reproductive hormone balance

14 It recommends rapid initiation of alternate-day intramuscular hydroxocobalamin therapy, and maintenance of this treatment until all symptoms have resolved or there is no further neurological improvement, with long term B 12 therapy depending on the presence of deficiency on presentation, together with total abstinence from the use of nitrous oxide

& Williams, D