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The article ends with a sentence like during B12 treatment, there is no need to check the B12 concentration in the blood, as this is supposed to be high. And 130 pmol/l is NOT high

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Experts attribute this difference to tirzepatide's dual-receptor mechanism, which influences not only appetite but also metabolic processes such as glucose regulation and fat utilization

others report that effects plateaued or faded

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Patients should seek urgent medical review if neurological symptoms worsen or fail to improve after 46 weeks of appropriate treatment