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General Precautions: Vitamin B12 deficiency that is allowed to progress for longer than 3 months may produce permanent degenerative lesions of the spinal cord

This is one of the many reasons I often recommend that thyroid patients just supplement with B12 in almost every case

For more on this topic, read about semaglutide withdrawal symptoms and whether you can stop cold turkey

How the tirzepatide calculation works Tirzepatide doses are often discussed in milligrams, while many vials and syringes require you to think in mg, mcg, mL, and units at the same time