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For GLP-1R and GIPR, both tirzepatide and MAR709 showed strikingly decreased receptor internalization compared to mono agonist

If laboratory testing shows low or low-normal B12 levels despite weekly injections, additional supplementation is appropriate and beneficial

If sulphur burps persist despite these measures, discuss with your GP whether temporarily reducing your Mounjaro dose might be appropriate whilst your body adjusts to the medication
