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Nevertheless, pyridoxal phosphate and pyridoxamine phosphate are the active endogenous metabolites of vitamin B6 that are involved in various biochemical reactions, including the metabolism of macronutrients, synthesis of nucleic acids, hemoglobin, and neurotransmitters (52, 53)

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Participants also showed improved cortisol circadian rhythmicity, indicating restored hypothalamic-pituitary-adrenal axis regulation

If your compounded tirzepatide includes additional ingredients like vitamin B6 or methylcobalamin , be aware that B vitamins can have mild energizing effects

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