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Unlike metformin, which has a well-documented association with reduced vitamin B12 absorption, tirzepatide has not demonstrated a similar pharmacological mechanism that would directly interfere with B12 metabolism or absorption in the terminal ileum
Carnitine: this nutrient acts as a shuttle that moves long-chain fatty acids into a cellular organ called mitochondria
63,66,67 Patients with depression have been found to have lower numbers and diversity in their gut microbiota compared with healthy controls
What that means is that it acts like a glucagon-like peptide-1 or GLP-1 hormone, causing your body to secrete insulin
