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You're pregnant or plan on becoming pregnant while using B12 injections

Symptoms of B12 deficiency B12 deficiency produces symptoms that overlap frustratingly with common tirzepatide side effects : Fatigue and low energy : Often attributed to reduced caloric intake Brain fog and poor concentration : Mistaken for a dietary side effect Mood changes : Depression, irritability, anxiety Tingling in hands or feet : Peripheral neuropathy from B12 depletion Weakness : Often blamed on muscle-related side effects Because these symptoms mirror common GLP-1 side effects, B12 deficiency often goes unrecognized in people taking tirzepatide

doi:10.1038/s41467-025-60844-9

The group consuming one can of tomato juice (containing 30 mg lycopene) daily for 12 weeks showed a significant increase in sperm motility compared to the antioxidant capsule group (containing vitamin C 600 mg, vitamin E 200 mg, and glutathione 300 mg) and the control group

Consultation scheduling should be arranged in advance