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Vitamin B-12 status differs among pregnant, lactating, and control women with equivalent nutrient intakes. The Journal of Nutrition 145.7 (2015): 1507-1514

For tirzepatide, with a similar half-life, the same guidance applies

Diabetes Metab 42(5):316327 Caspary W, Creutzfeldt W (1971) Analysis of the inhibitory effect of biguanides on glucose absorption: inhibition of active sugar transport

schedule consultation Benefits of Vitamin B12 Improves metabolism, mood, & overall energy levels Reduces fatigue while boosting immune system Promotes red blood cell production Enhances memory & cognitive function Helps to treat pernicious anemia & diabetes Improves circulatory system & prevents heart disease How It Works Vitamin B12 (methylcobalamin) is a water-soluble vitamin that is naturally found in animal products such as poultry, beef, fish, eggs, and dairy