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Ongoing support: Regular follow-up with your prescribing clinician is essential when using tirzepatide to monitor treatment response, adjust dosing, and manage any adverse effects in line with NICE guidance for diabetes and weight management

Heavy alcohol consumption can interfere with the body's ability to absorb Vitamin B12 from the gut and can reduce the amount of the vitamin stored in the liver

Numbness and tingling in hands and feet Poor balance Poor memory and dementia Mouth or tongue soreness Depression Deficiency is primarily due to issues of malabsorption, poor dietary intake and pernicious anemia

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Then, insert the needle into the bacteriostatic water vial and release the air to prevent a vacuum effect