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Call the Council on Aging for more information about any of these programs, 978-462-2412

arguments against the use of oral cobalamin Oral treatment may be considered in certain situationsfor example, in mild or subclinical deficiency with no clinical features and when absorption and compliance are definitely not a problem

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However, certain symptoms warrant a call to your healthcare provider: Nausea severe enough to prevent eating or drinking for more than 24 hours Persistent vomiting, especially if it continues beyond 24 hours Signs of dehydration (dark urine, dizziness when standing, dry mouth) Severe abdominal pain that does not resolve Diarrhea that continues for more than three days In rare cases, your prescriber may temporarily reduce the tirzepatide dose or pause the dose escalation until GI symptoms resolve