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Common causes include liver disease (which releases stored B12), kidney disease (reducing B12 clearance), haematological malignancies, solid tumours, and excessive supplementation
Statistical analysis Statistical analysis was performed with SPSS 21.0 for Windows (IBM, Armonk, NY, USA)
It is important to ask your doctor's advice before taking any other vitamin supplements
Tirzepatide is a very potent medication, Siegel says
Body composition analysis using a time-domain NMR analyzer revealed significant reduction of fat mass (Fig