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You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated

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Tirzepatide did not impact metabolic adaptation in people with obesity, but increased fat oxidation