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Reducing the dosage can usually help resolve this issue

GLP-1 specialty drugs have demonstrated meaningful clinical benefits for weight loss and type 2 diabetes management, with landmark trials showing average weight reductions of 15-22% and significant improvements in glycemic control and cardiovascular outcomes

For HRT users on oral hormones, switching to non-oral delivery is even more important with tirzepatide than with semaglutide

Retrieved June 30, 2019

Alternatively, I would recommend anyone over the age of 65 years old or a vegetarian at any age to take the active form of vitamin B12, methylcobalamin, at a dosage of 1,000 to 3,000 mcg daily

PMID: 32928579