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Nutritional Intake and Stress The appetite suppression caused by Tirzepatide often leads to a significant reduction in caloric intake

Patients should be counseled never to administer extra doses to make up for missed doses, as this could increase the risk of adverse effects without providing additional therapeutic benefit

It is important to get B12 levels tested

If you do continue a daily multivitamin, separate it from any interactions, for instance, dont take other vitamins at the exact same time as certain medications like tetracycline antibiotics (all B vitamins can bind with tetracycline in the gut and reduce its absorption)

Methylcobalamin is the active, naturally occurring form of B12 that your body can use immediately

Retatrutide titration is sensitive, so do not combine it in the same syringe with anything else