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While tirzepatide is not primarily eliminated through the kidneys, the gastrointestinal effects of the medication, including potential nausea, vomiting, and diarrhea, could lead to dehydration and electrolyte imbalances that may be particularly problematic in patients with compromised kidney function

When it comes to getting your recommended dose of vitamin B12, there are two popular options: injections or pills

Set a timer if impatience tempts you to shake

These days, with the right treatment, people with pernicious anemia usually do very well, except if they also have another condition call SCD

Third, the reduced caloric intake that comes with appetite suppression means less dietary B12 enters the system to begin with