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For more on what to anticipate, see what to expect after your first dose of tirzepatide

If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)

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Cyanocobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction

Carbone JW, Pasiakos SM

Low levels have been linked with symptoms such as low mood, increased anxiety, irritability, and mood swings