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Choline - plays a major role in cardiovascular health, in addition to minimizing excess fat in the liver through its fat and cholesterol metabolic properties
History of severe hypersensitivity reactions to tirzepatide or any formulation component requires avoidance

Pregnancy: Lupus anticoagulant may be present in pregnant women, especially those with antiphospholipid syndrome, and can increase the risk of complications like miscarriage or preterm birth

The National Institute for Health and Care Excellence (NICE) notes that the prevalence of Vitamin B12 deficiency is approximately 6% in those under 60 years old, rising to 20% in the over 60s
