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In the duodenum, pancreatic enzymes cleave B12 from R-proteins, allowing binding to intrinsic factor produced by gastric parietal cells
Talk to your prescriber about whether a dose increase is appropriate
In late 2023, the FDA approved the same tirzepatide medication for chronic weight management, but under a different brand name: Zepbound
Cons: Needs medical supervision, possible discomfort from injections, and generally higher costs compared to tablets
If you find yourself in this position, the troubleshooting guide for tirzepatide weight loss stalls covers the most common causes and solutions
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