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B12 is added primarily to combat fatigue and support energy metabolism during caloric restriction

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"I was about two, three weeks where I felt nauseous the whole time

Both medications are excellent for managing blood sugar if you have diabetes, but tirzepatides dual receptor activation may offer added benefits for glucose control alongside weight loss

Pulsatile dosing: Some experiment with dose cycling (e.g., one month on, one month off) to minimize tolerance development

Rapid weight loss is not recommended and should not exceed more than 1 lb a week while breastfeeding