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If you have had slow, ongoing blood loss (such as from stomach ulcers or heavy periods), you may develop iron deficiency anemia over time

J Neuroimmune Pharmacol 19, 36 (2024)

You will not see the kind of dramatic transformations that 15 mg tirzepatide produces over 72 weeks (22.5% total weight loss)

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Left untreated, pernicious anemia can cause serious medical issues, including irreversible damage to your nervous system