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B12 deficiency is a serious illness which, if untreated, can lead to lasting neurological and cognitive damage and disability

[22] [23] Baseline assessment should be considered before initiating tirzepatide in high-risk patients, including those over 65 years of age, individuals with pre-existing gastrointestinal disorders, patients on concurrent metformin or acid-suppressing medications, and those following restrictive diets

Certain types of nutritional yeast also contain vitamin B12, as do products that have been specifically fortified with the nutrient

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Only your treating doctor can provide medical advice specific to your case