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Although you may eat plenty of B-12-enriched food, your body may not absorb it or use it efficiently due to aging, alcohol intake, and pollutants from the environment, all of which can take a toll on your body and digestion

The addition of semaglutide to this already high-risk group showed further b12 decline, but whether this represents a medication effect, dietary changes from additional appetite suppression, or natural progression of post-surgical deficiency remains unclear

Our guide on supplements to take with tirzepatide covers evidence-based additions that complement the medication effects without interfering with its stability or efficacy

Monitoring Response to Treatment Its important to check how well the treatment is working