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When to call a professional Contact your doctor for a physical examination if you experience unexplained fatigue, palpitations, shortness of breath, sore tongue, or any other symptoms of vitamin B 12 deficiency
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Always follow the recommended dosage, and if you experience any adverse effects, consult a healthcare provider
Insulin dose reduction of 20 to 50% at triple agonist initiation is consistent with the approach used in tirzepatide trials: the SURPASS-5 trial (N=475) reduced insulin glargine by 20% at tirzepatide initiation, which reduced hypoglycemia without sacrificing glycemic control
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