bac water shelf life Bacteriostatic vs Sterile Water for Peptides Is it true that bac

Fathi, M

Quick Answer: Tirzepatide has no established direct effect on vitamin B12 levels, but indirect factors such as reduced dietary intake, slowed gastric emptying, and concurrent metformin use may increase deficiency risk

A reduction or lack of gastric acid and pepsin diminishes the release of vitamin B 12 from food and hence decreases its availability for absorption in the ileum [93]

Side effects of B12 deficiency can include decreased cognitive function, fatigue, lethargy, feeling faint, depression or irritability, headache, balance issues and more

The exact timing depends on the patients needs, like how severe the deficiency is and how well they absorb the vitamin