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It has been shown to significantly reduce visceral adipose tissue (VAT) in multiple randomized trials (NEJM/phase III evidence
Who should avoid this combination Individuals with a history of thyroid cancer or MEN 2 syndrome should not use tirzepatide, and therefore should not use this combination
People over 50 are most at risk because your gut absorbs less B12 as you age
You might also need a diagnosis for conditions like pernicious anaemia , an autoimmune issue that stops your body from absorbing B12 from food
Note: Compounded preparations are not FDA-approved
Some medications may be compounded when clinically appropriate to meet individual patient needs
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