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The post treats new reflux as a signal to refine the approach, and notes that pre-existing gastrointestinal sensitivity raises the odds of it happening at all

Injection site reactions to tirzepatide, which include redness, swelling, itching, and tenderness, are reported by up to 10% of clinical trial participants

Unfortunately, even when a persons diet is rich in B12 or if they take a daily supplement, they may still be lacking, as vitamin B12 can be difficult to absorb orally