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If you plan to discontinue tirzepatide, consider a gradual dose reduction over 8-12 weeks

Do not push too hard as this will lock the lid

One of the fastest and most effective ways to restore levels is through a B12 injection

By converting to its active forms within the body, it supports methylation and the synthesis of nucleic acids and amino acids, which are vital for maintaining healthy nerve cells and forming red blood cells, thus correcting Vitamin B12 deficiency and associated symptoms

BNF recommends hydroxocobalamin rather than cyanocobalamin for vitamin B12 deficiency
