If you have neurological symptoms (pins and needles, numbness, balance issues), severe fatigue, unexplained weight loss, chest pain, breathlessness, or symptoms that are worsening, you should seek medical assessment promptly.
Generally, we avoid the use of benzodiazepines (like Ativan or Versed) as this can reduce the psychotropic effect of ketamine
How Tirzepatide + B12 Works Tirzepatide with B12 combines hormonal and metabolic support: Dual Hormone Action: Targets GIP and GLP-1 receptors for enhanced appetite and metabolic control
Vitamin B12 deficiency recovery can take time, six to twelve months, but with ongoing supplements, improvement should be gradual
Trends in Endocrinology & Metabolism 28(5):340-353