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Common symptoms of B12 deficiency include heart palpitations, shortness of breath, and swelling in the ankles and feet
Taking semaglutide with B12 is more effective when combined with regular exercise and healthy eating
[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking
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