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For those who benefit from additional structure, meal replacement options may be suggested to help with portion control and nutrient intake

If you remember from my previous video, B12 deficiency is treated with 1,000 micrograms a day for a month or more, and that could potentially trigger it, as noted in this vegan woman who wasnt taking B12, developed B12 deficiency, and had to be treated with such high doses her face erupted in acne

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The main thing to know is that tirzepatide works on two different hunger and satiety hormones in the body, as well as insulin levels