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Vitamin B12 cannot be made in the body, therefore, it must be obtained from the diet

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Additionally, the gastrointestinal adverse effects commonly experienced with tirzepatideincluding nausea, vomiting, and reduced appetitemay lead to decreased dietary intake and potential nutritional deficiencies over time

Growth hormone signaling pathways

For example, individuals with digestive system disorders may not benefit from liquid, chewable, or tablet forms of cobalamin