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This includes individuals with medical conditions such as pernicious anemia, atrophic gastritis, celiac disease, or Crohns disease, all of which can interfere with B12 absorption

It occurs gradually as inflammation is reduced and tissue repair mechanisms take effect

Consider the standard tirzepatide dose progression

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Until properly designed, peer-reviewed human clinical trials are completedand an FDA-regulated production pathway existsclinicians should remain cautious and avoid its clinical use in patients

Once SIBO is effectively treated, blood levels of B12 may normalize