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Tirzepatide is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist approved by the FDA for the treatment of type 2 diabetes mellitus and chronic weight management

The Practical Takeaway If you're having symptoms and your B12 is high, here's how to think about it: First, separate the two questions

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Starting with a modest dose to gauge bodily responses is prudent

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Only, you should apply it under some expert's supervision.