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However, GLP-1 primarily addresses blood sugar and appetite regulation

Unlike certain traditional oral medications for type 2 diabetes, such as metformin, which can actively lower B12 absorption over long periods of use, semaglutide has no direct biochemical interaction with your B12 levels

Vitamin B12 is an essential water-soluble vitamin that can be acquired through injections, vitamins, and eating enough meat, poultry, seafood, dairy products, and eggs

On the other hand, tirzepatide is not recommended for individuals with a history of pancreatitis, specific thyroid cancers, severe gastrointestinal conditions, or allergies to GLP-1 receptor agonists

That means working with licensed compounding pharmacies that produce pharmaceutical-grade products, not sourcing from gray-market suppliers