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Routine B12 monitoring is not mandated for tirzepatide, but baseline and periodic testing should be considered for high-risk patients, including those over 65, on concurrent metformin, with gastrointestinal disorders, or experiencing symptoms such as fatigue, neuropathy, or cognitive changes

But if you arent careful, tirzepatide can potentially lead to drops in blood sugar that are lower than youd like, also called hypoglycemia

They also play a key role in identifying mood changes, visual symptoms, or signs of dehydration that should trigger prescriber review

Longevity doctor Mark Hyman, M.D

Burns JS, Dockery DW, Neas LM, Schwartz J, Coull BA, Raizenne M, Speizer FE: Low dietary nutrient intakes and respiratory health in adolescents

Starting these supplements without a doctor is like tuning a high-performance engine without a manual