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Annual monitoring should include checking serum B12 levels and, if needed, MMA and homocysteine levels
Typically, you can start to see some effects after the initial dose, but significant weight loss may take several weeks
There is a lack of data showing that tirzepatide should be cycled, and the safety of administering the peptide in successive cycles is unknown
Severe or persistent vertigo lasting more than a few days, vertigo accompanied by chest pain or shortness of breath, loss of consciousness, or balance problems that interfere with daily activities should be reported to a healthcare provider without delay
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