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doi: 10.1136/jcp.46.4.382-a

Monitoring nutrient status while on tirzepatide with B12 Baseline laboratory assessment before starting tirzepatide should include B12 levels, complete blood count (CBC), comprehensive metabolic panel (CMP), lipid panel, and HbA1c if you have diabetes or prediabetes

According to an article about cobalamin deficiency in Tufts Universitys catnip newsletter, people with cobalamin deficiency also experience changes with intestinal permeability and absorptive function

Their small size often confers greater stability in solution compared to longer peptides

These similar biological functions have also been identified in pathways associated with neurodegenerative diseases such as Alzheimer's disease (AD) and Parkinson's (PD) disease