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Quick Answer: Tirzepatide has no established direct effect on vitamin B12 levels, but indirect factors such as reduced dietary intake, slowed gastric emptying, and concurrent metformin use may increase deficiency risk

The addition of B12 to your formulation isnt harmful, but it may not produce any noticeable difference compared to semaglutide alone

Sculptra is a collagen biostimulator

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Osteophytes Bony projections resulting from increased bone remodelling activity
