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Weeks 1-4: tirzepatide only phase During the tirzepatide-only phase, the primary change is appetite reduction
This phenomenon, sometimes referred to as early worsening of diabetic retinopathy, appears to be related to the magnitude and speed of glucose lowering rather than a direct effect of the medication
Unfortunately, some patients have difficulty absorbing an adequate amount of vitamin 12 because they do not produce enough stomach acid due to a condition called autoimmune atrophic gastritis which can cause a deficiency of vitamin B12
Practical tapers often hold each lower step for 8 to 12 weeks, although that schedule has not been tested directly
Symptoms Of Vitamin B12 Deficiency If you arent sure if you are deficient in vitamin B12 or not, make sure that you check the list down below: Lightheadedness or dizziness Discomfort and chest pain Difficulty in thinking clearly and concentrating Rapid breathing or shortness of breath Fatigue Pale Skin If left untreated, vitamin B12 deficiency may cause long-term health problems