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For these populations, B12 injections move from optional to essential

Unlike older weight loss medications that affect only one pathway, tirzepatide's dual-action approach enhances appetite reduction, promotes sustained fullness, improves insulin sensitivity, and may boost calorie burning

Clinical trials have demonstrated greater weight loss with these higher doses compared to diabetes-indicated doses, with Wegovy producing average weight reductions of 12-15% of body weight

This adjustment can take time and may lead to temporary spotting, heavier or lighter periods, or missed periods

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Vermerris W, Nicholson R