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Tirzepatide, sold as Mounjaro, is a different molecule and is not part of the same patent expiry story

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FAQ 4: Are certain GLP-1 medications more likely to cause hair loss than others

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

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