People with mild B12 deficiencies experience changes in B12 effectiveness yet severe deficiencies need extended treatment time or stronger doses to produce noticeable results
B12 injections are generally well tolerated
In general, individuals who cannot absorb vitamin B12 correctly may have pernicious anemia
R., Guan, X
Folate Other symptoms of a folate deficiency may include: Fatigue Shortness of breath Weakness Headache Irritability Difficulty concentrating Beef liver, poultry, eggs, and dairy Dark leafy green vegetables Legumes like beans, peas, and lentils 4
Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)