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PMC 7756841

The cyano version has to be turned into methyl version in order to have any effect

It is not intended for human or animal consumption.

& Hughes, D

Firstly the Review was based on research papers that were very suspect and involved groups of individuals that did not represent a wide cross section of society (the primary study was of mainly elderly males)

Who needs to be most careful about B12 monitoring While adding B12 to tirzepatide provides a baseline level of supplementation, certain groups need to pay extra attention to their B12 status and should discuss more frequent monitoring with their healthcare provider