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Alim et al

Why Deficiency Matters Even mild deficiency can cause wide-ranging symptoms: Persistent fatigue or low energy Brain fog, mood changes, or poor concentration Tingling or numbness in hands and feet Pale skin or shortness of breath Reduced immune function These occur because B12 is critical for oxygen transport and nerve conduction

Safety Warning Dietary supplements should not be used as a substitute for a varied and balanced diet

Alternative maintenance strategies Transitioning from tirzepatide to other GLP-1 agonists represents one alternative maintenance strategy

doi: 10.3390/pathogens9120980 24 Nadal JimenezPKochGThompsonJAXavierKBCoolRHQuaxWJet al