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The following groups of people are at a greater risk of developing a vitamin B12 deficiency: Vegans or vegetarians People 75+ years Having a digestive system disorder like Crohns or celiac disease Drinking excessive amounts of alcohol Having Sjgrens syndrome Taking certain medications like oral birth control or metformin Common symptoms of a vitamin deficiency include fatigue, numbness, poor balance, memory loss, and breathlessness

Higher tirzepatide concentrations mean smaller injection volumes for the same dose

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Manage dose escalation gradually Rapid dose escalation increases the severity of gastrointestinal side effects, which increases the likelihood of temporary libido disruption

Warfarin (Coumadin) There is limited evidence that niacin may increase the anticoagulant effects of warfarin