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A scoping review in Cureus (2025) added important context: dual-acting agonists like tirzepatide which targets both GLP-1 and GIP receptors produced greater reductions in weight and insulin sensitivity than GLP-1-only agents

If the stomach environment is not acidic enough, the B12 remains tightly bound to the food and passes through the digestive tract unabsorbed

What should the next step for the hospitalist be

Should be administered under the direction of a licensed medical provider

In many cases, though, patients' disorders prevent them from absorbing the B12 unless it is administered by injection

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