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When levels drop, the effects show up in ways that feel vague and hard to pin down

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[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking

Vitamin B12 deficiency anemia is most common in people with ancestral history in Northern Europe

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