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How This Works Tirzepatide is a novel dual agonist that simultaneously activates GLP1 (glucagonlike peptide1) and GIP (glucosedependent insulinotropic polypeptide) receptors [1] [2]

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Risk increases significantly after 2+ years of use Post-bariatric surgery patients gastric bypass removes or bypasses the sites of intrinsic factor production and B12 absorption People with autoimmune conditions pernicious anemia (anti-intrinsic factor antibodies) and autoimmune gastritis directly block absorption People with GI conditions Crohns disease (especially ileal involvement), celiac disease, SIBO, and chronic H

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For patients with diabetes, we use an IV bag with a non-dextrose base instead of our Hydration formula to prevent elevation in your blood sugar with your treatment

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