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The lack of safety pharmacokinetics is particularly concerningwe dont actually know how humans metabolize this peptide

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Meat and poultry: Chicken, turkey, and beef provide moderate amounts of B12, contributing to a balanced canine diet

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While tirzepatide is not primarily eliminated through the kidneys, the gastrointestinal effects of the medication, including potential nausea, vomiting, and diarrhea, could lead to dehydration and electrolyte imbalances that may be particularly problematic in patients with compromised kidney function