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These may include: Iron studies: Serum ferritin, transferrin saturation, and total iron-binding capacity Vitamin B12 and folate levels: To identify megaloblastic anaemia Renal function tests: Chronic kidney disease is a common cause of anaemia in patients with diabetes Coeliac serology: Testing for coeliac disease is recommended in unexplained iron deficiency anaemia [18] Gastrointestinal investigations: If iron deficiency anaemia is confirmed without an obvious cause, referral for endoscopy or other imaging may be required under the NICE suspected cancer referral pathway (NG12) [19] According to NICE guidance , the management of anaemia depends on identifying and treating the underlying cause

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Retatrutide at 12 mg exceeded both, and the 8 mg dose roughly matched the maximum tirzepatide result