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Vitamin B12 is a nutrient that plays a crucial role in maintaining a healthy nervous system and supporting the bodys energy production

Plasma dipeptidyl peptidase-IV activity in patients with type-2 diabetes mellitus correlates positively with HbAlc levels, but is not acutely affected by food intake

Scientific reports , 11 (1), 6791

11.3 Risk of Severe Gastrointestinal Reactions Gastrointestinal adverse effects are common, but severe manifestations may occur

Discuss with your provider whether lipid improvements alone are a treatment goal or whether weight loss and glycemic control take priority

The SURMOUNT-1 trial for tirzepatide painted a similar picture, with roughly 25% of total weight lost coming from lean tissue and 75% from fat over the 72-week study period