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You might be an ideal candidate if you're following a vegan or vegetarian lifestyle (plants don't naturally contain B12), or if you've been diagnosed with pernicious anemia (where your body attacks the cells needed to absorb B12)

Chapter 11: Presenting results and Summary of findings' tables
[1] Beaudry-Richard, A

The evidence base for tirzepatide as monotherapy is robust, with pivotal trials including SURMOUNT-1 demonstrating significant weight reduction in adults with obesity, and SURPASS trials establishing glycemic efficacy in type 2 diabetes