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Compounders have not shared any data on the new molecule produced from the interaction of tirzepatide and vitamin B12, so we dont know what its safety profile is or whether it could affect how well the medication works, Moreno says

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Important things to keep in mind include: Serum B12 levels should be normal for most people Methylmalonic acid (MMA) and homocysteine levels can show if B12 is really working, even if levels seem fine How symptoms change is also important When and How to Adjust Dosing Regimens Doctors might need to change the dose based on test results and how the patient is doing