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If fatigue is ongoing, unexplained, or affecting your quality of life, it may be worth exploring whether B12 deficiency is a contributing factor
The question of why some people do not lose weight on tirzepatide usually comes down to dosage optimization, dietary factors, or metabolic considerations that can be addressed with protocol adjustments rather than compound switching
The financial burden falls entirely on the patient: Wegovy costs $1,349 for a month's supply at retail pricing, and most insurance plans will not cover any portion of the medication
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