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Pregnant or Breastfeeding Women: Expectant mothers may need additional B12 to support their own health and the development of their baby

It has been shown that low serum vitamin B 12 is associated with a 2- to 4-fold higher risk of cognitive impairment.50 The prevalence of low serum vitamin B 12 has been reported to be significantly higher in the people with Alzheimers disease (AD).52 However, the causal relationship between vitamin B 12 deficiency and the development of AD remains controversial

Reduced caloric intake combined with metabolic changes can leave patients feeling drained

As a dual GLP-1 and GIP receptor agonist, Tirzepatide affects multiple pathways simultaneously: It slows gastric emptying, enhances insulin secretion in a glucose-dependent manner, suppresses glucagon secretion, and powerfully suppresses appetite

Depending on findings, your GP may refer you to a rheumatologist for specialist assessment, particularly if inflammatory arthritis is suspected