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Mechanism of Action: The NAD+ Preservation

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For tirzepatide users, these practices become non-negotiable rather than optional

peak blood concentrations of the vitamin are not achieved for 6 to 8 hours after an oral dose

Common side effects may include diarrhoea, nausea, headaches/ dizziness, hot flushes

Unfortunately, studies on this topic have mainly focused on normalising serum B12 concentrations with oral supplementation and should be interpreted with caution since the specific goal of treatment in symptomatic B12 deficiency is alleviating symptoms, and NOT to normalize B12 concentrations in the blood