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I have megaloblastic anemia, and have been trying different sublingual tablets in different doses

For guidance on timing flexibility, see our article on taking tirzepatide a day early and our broader guide on the best time to take your GLP-1 shot

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Additional tests may include full blood count (to check for macrocytic anaemia), methylmalonic acid and homocysteine levels (which rise in B12 deficiency), and tests for intrinsic factor antibodies if pernicious anaemia is suspected