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But it is important to clarify a common misconception
Most practitioners check B12 levels at 3-6 months after initiating tirzepatide and then every 6-12 months during maintenance
Unexplained hypercobalaminemia, particularly levels above 1,000 pg/mL, has been associated with liver disease, kidney dysfunction, myeloproliferative disorders, and certain solid cancers in multiple large-scale studies
The severe lack of this vitamin can potentially contribute towards obesity
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