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The prophylactic use of vitamin B12 was regarded as necessary for people diagnosed with atrophic gastritis, those with previous bariatric surgery, people at risk of B12 deficiency due to illnesses or medications, people with low or no consumption of animal source foods, and people ever diagnosed with vitamin B12 deficiency when they decided to become pregnant (Table 2)

For stacking with Tirzepatide, most protocols use the no-DAC version because it creates more physiological pulsatile GH release patterns

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