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Initial Treatment Phase: During this time, its important to keep an eye on vitamin B12 levels and symptoms

The reduced caloric intake on tirzepatide compounds the problem
Research in preclinical models has explored its role in NNMT inhibition, NAD+ metabolism, and cellular energetics (pmc.ncbi.nlm.nih.gov, pubmed.ncbi.nlm.nih.gov)

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B12 is a water-soluble vitamin vital to various bodily functions, including energy production, red blood cell formation, and nervous system support
