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No direct head-to-head maintenance trial exists, but indirect evidence favors tirzepatide

We know that patients taking GLP-1 RAs have an increased incidence of residual gastric contents even when fasting

Surgical procedures Sometimes few surgeries that involve the removal or alteration of the stomach or intestines can affect the bodys ability to absorb vitamin B12 as removal reduces the surface area available for absorption

Providing false information can result in additional violations

These can indicate degradation even if the vial appears unchanged

Ranard, K.M., Kuchan, M.J., Juraska, J.M., Erdman, J.W., Jr., 2021