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Volkow ND, Wang GJ, Fowler JS, Hitzemann R, Angrist B, Gatley SJ, et al

Dongmei Zhang, [email protected] These authors have contributed equally to this work Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

Understanding your gut ecosystem allows for targeted interventions that support continued success beyond medication

This might include people with a history of low B12 levels on blood work, those taking metformin or proton pump inhibitors that deplete B12, vegetarians or vegans with limited dietary B12 intake, individuals with absorption issues from gastric conditions, or anyone experiencing the pronounced fatigue that often accompanies early tirzepatide therapy

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