Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)
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The same section requires a colonoscopy with removal of polyps within 6 months before starting , another at 1 year, then every 5 years , plus bilirubin, alkaline phosphatase, lipase and amylase every 6 months, and discontinuation if GI cancer is found [1]
Methyl B12 is the most absorbable form and has distinct nerve-repairing properties, and for most people it is the best form