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While tirzepatide does not directly affect B12 absorption like metformin, reduced intake of animal productscommon during appetite suppressionmay lead to inadequate B12 levels

,,de Assis GadelhaDD,de Brito AlvesJL,da CostaPCT,da LuzMS,de Oliveira CavalcantiCBezerrilFFet al.Lactobacillus group and arterial hypertension: A broad review on effects and proposed mechanisms.2024;64:38393860 42

Functional tests relevant to your injury

Gastrointestinal issues, such as nausea, vomiting, and diarrhea, might be more pronounced without the support of probiotics and fiber supplements that help manage these symptoms

However, these are incredibly rare