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[22] [23] Baseline assessment should be considered before initiating tirzepatide in high-risk patients, including those over 65 years of age, individuals with pre-existing gastrointestinal disorders, patients on concurrent metformin or acid-suppressing medications, and those following restrictive diets

Yes, but it must be kept cold

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Without sufficient vitamin B12, the body cannot produce enough healthy red blood cells, leading to a range of symptoms from fatigue to neurological complications

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