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Treatment depends on the cause and severity: oral supplementation suffices for dietary deficiency, whilst patients with pernicious anaemia or malabsorption typically require intramuscular hydroxocobalamin injections

Quick Answer: Tirzepatide may reduce inflammatory markers like high-sensitivity C-reactive protein, though it is unclear whether this represents direct anti-inflammatory effects or secondary benefits from weight loss and improved glycemic control

Patients using oral or sublingual sermorelin formulations consistently show no meaningful change in those same labs