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Users who escalate from 2.5mg of tirzepatide to 5mg and beyond sometimes notice that reactions worsen at each new dose level before stabilizing
A person whose vitamin B12 levels are outside of the normal range will require treatment
Create functional folate deficiency (a buildup of inactive folate that can't do its job), because B12 is a cofactor for the enzyme that turns inactive folate into active folate
It can also result in pernicious anemia which occurs when your body does not have enough vitamin B12 to produce the required amount of red blood cells
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