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What that means is that it acts like a glucagon-like peptide-1 or GLP-1 hormone, causing your body to secrete insulin
Unlike metformin, which has a well-documented association with reduced vitamin B12 absorption, tirzepatide has not demonstrated a similar pharmacological mechanism that would directly interfere with B12 metabolism or absorption in the terminal ileum
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Because it is already methylated, it is instantly recognized and utilized by the central nervous system and the methionine synthase enzyme
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