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Pregnant and breast feeding women who are low in B12 should only receive smaller doses.

Any significant discoloration, particulate matter, or opacity in FDA-approved tirzepatide indicates potential degradation or contamination and the product should not be used

Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

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