People who follow vegan or vegetarian diets, older adults, individuals with digestive issues (like Crohns or celiac), and those taking certain medications (like metformin or acid reducers) are at higher risk of B12 deficiency
Faster ramp, higher ceiling, more side effect risk
S dng vitamin B1 hp l s gip bn c ln da sng bng v khe mnh
Roman D, Kantarjian HM, Cortes JE, Borthakur G, Garcia-Manero G, My K, DiNardo CD, Daver NG, Pemmaraju N, Kadia TM, Kornblau SM, Bose PJ, Andreeff M , Freireich EJ, Ravandi R, Aung FM
Furthermore, many patients prescribed tirzepatide for type 2 diabetes are concurrently taking metformin, which independently increases the risk of vitamin B12 deficiency through impaired calcium-dependent B12-intrinsic factor uptake in the ileum