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Once the IF/B12 complex is recognized by specialized ileal receptors, it is transported into the portal circulation
The Final Takeaway Both oral vitamin B12 supplements and injections have their place in managing and preventing deficiency
There is no standardized product to study, which is part of why the evidence base is so thin
Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)
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