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Tirzepatide is a dual GIP/GLP-1 agonist that has shown even greater weight loss in clinical trials
The obsession with B12 blood levels must stop, as they mean little
[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)
research combining both should proceed cautiously
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