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If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level

You dont even know what youre getting, he says

If you are following a microdosing tirzepatide protocol , a 10 mg vial at 2.5 mg/mL gives you enough peptide for 20 doses at 0.5 mg or 40 doses at 0.25 mg

If you suspect that vitamin D is causing constipation, consult a healthcare professional for advice

The additional peptide makes it more powerful at promoting insulin release than just GLP-1 alone. Kota says that hes seen greater weight loss in his patients on tirzepatide than semaglutideand research backs this up