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do vitamin b12 injections affect menstrual cycle Tirzepatide and Menstrual Cycle: Effects
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They have a high affinity for inactive B12 analogues, although it is believed that this may also play a role in their elimination, as well as other functions that are still being studied and are largely unknown (including the transport of stored B12)

Your ability to absorb vitamin B12 depends if you have enough of a protein called intrinsic factor (IF) in your stomach
Gramer G, Hoffmann GF (2020) Vitamin B12 deficiency in newborns and their mothersnovel approaches to early detection, treatment and prevention of a global health issue
Its unclear whether they should be used together
