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Technique is important too

Utility and limitations of biochemical markers of vitamin B 12 deficiencyEur J Clin Invest2013;43:231-7

It is unknown whether MOUNJARO causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human relevance of tirzepatide-induced rodent thyroid C-cell tumors has not been determined [see Warnings and Precautions (5.1) and Nonclinical Toxicology (13.1)]