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The third omission is purity reality
See the PlexusDx approach to tirzepatide: review the Weight Management Protocols, or begin with the Precision Peptide Genetic Test to understand your GLP-1 pathway first
Some medications also reduce B12 absorption (Sobczyska-Malefora et al., 2021) among the main ones are: metformin, proton pump inhibitors (PPIs), such as omeprazole, lansoprazole and esomeprazole, and H2-receptor antagonists, such as ranitidine, cimetidine, famotidine and nizatidine
GLP-1 therapy can be used alone or in combination with other medications and lifestyle modifications, such as diet and exercise suitable for a wide range of patients, whether newly diagnosed or managing diabetes for years
