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B12 supplementation Both semaglutide and tirzepatide can reduce B12 absorption due to decreased gastric acid production and slowed gastric emptying

[1] [4] If injection site discomfort significantly impacts your quality of life or adherence to treatment, discuss this with your prescriber

This is combined with intermediate fasting, a low carb /calorie intake and with a lite workout regimen 3 times a week for 30 minutes

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