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The supplement strategies for tirzepatide users often include electrolyte support that serves double duty for hydration and UTI prevention

Nirala Jacobi: I start to shift my thinking in terms of SIBO more to intestinal dysbiosis or imbalances, you know

10.1016/S0896-6273(00)80247-0 Neuron 47 EtemadikahM.NiaziA.WetterbergL.FeukL

The mechanisms behind B12 deficiency in metformin users are multifactorial but are probably related to intestinal absorption, so it seems sensible to assume that oral B12 replacement may be less effective, although there is little evidence in this area

red-flag features such as suspected scarring alopecia or rapidly progressive loss warrant prompt dermatology referral