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A better question might be Are you absorbing enough B-12? As B12 levels decrease, homocysteine levels increase

Any symptoms suggesting thyroid hormone imbalancesuch as new or worsening fatigue, palpitations, heat or cold intolerance, or changes in weight beyond expected GLP-1 effectsshould prompt thyroid function testing and clinical reassessment

Vitamin B12 deficiency is typically diagnosed with a routine blood test

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These abnormalities persisted 24 h after exposure in rats exposed to 400 ppm Cl(2)

8,11 Tirzepatide (Zepbound), a dual GLP-1/GIP RA, received FDA approval in November 2023 for chronic weight management in adults with obesity or overweight who have at least one weight-related comorbidity