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Because tirzepatide reduces appetite and slows stomach function, continuing it during the fasting window could increase nausea, vomiting, and surgical complications

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It is not the fault of the trainee doctor or nurse that this vital education is missing but countless patients have provided a valuable opportunity for CPD by providing information for those in qualified to be in charge of their care

Deficiency develops gradually, as the body stores approximately 2-5 mg of B12 in the liver, which can sustain normal function for several years even with inadequate intake or absorption

Whether its cyanocobalamin or methylcobalamin, as long as its stored properly, B12 will remain stable alongside Semaglutide