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Harooni et al., 2009)

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For researchers who have previously used semaglutide or tracked their tirzepatide weight loss timeline , the combination protocol should produce noticeably greater results, but the exact magnitude depends on individual response and adherence

Conditions like pernicious anaemia (an autoimmune condition affecting a protein called intrinsic factor vital for B12 absorption), stomach issues (such as from reduced stomach acid or certain medications like proton pump inhibitors), intestinal disorders (like Crohns disease or coeliac disease), or even surgical removal of parts of the small intestine (e.g., gastric bypass surgery) can prevent proper absorption

But, its best to talk to a doctor to find the right mix for you

Munn, D