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However, the oral route cannot be excluded as it did not depend on intrinsic factors only, as the simple diffusion (without the need for intrinsic factors) is now considered another mechanism for the absorption of vitamin B12 [49, 50]

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Therefore, you can take it at whatever time of day is most convenient for you

[7] [8] Patients with uncontrolled or symptomatic arrhythmias, particularly atrial fibrillation with rapid ventricular response or ventricular arrhythmias, should have these conditions optimized before starting tirzepatide

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