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Review medications: Some medications or multivitamins may contain B12 6
Untreated B12-related anemia can cause significant fatigue, a fast or pounding heartbeat, and other symptoms
PMID: 25415472
Tirzepatide and sermorelin together represent a combination therapy approach that some patients and clinicians consider for metabolic management, though this pairing lacks formal clinical study
Presented for research literature review only Cochran JS et al
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