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Some medications can reduce the absorption of vitamin B12 including me dull, tobramycin, gentamicin, and other medications such as tributyl antihistamines

That is a large effect and matches the direction of earlier Phase 2 glucose data, but the magnitude is higher than what has been reported in comparable tirzepatide or semaglutide obesity trials

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If you qualify for a Special Enrollment Period (SEP), you can make changes outside of the traditional enrollment periods