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fortunately, serious consequences are rare

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The mechanism is generally telogen effluvium driven by rapid weight loss rather than a direct effect of tirzepatide, similar to what is seen after bariatric surgery or any aggressive caloric deficit

More recently, a longitudinal study among 3,849 community-living older adults in Ireland found that low vitamin B 12 serum concentrations ( 258-601 pmol/L) (101)

You can still get a hangover, but these make it less likely than darker liquors like brandy, red wine, or bourbon

Vitamin B12 helps make myelin, a fatty substance around nerve fibers