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Routine B12 monitoring is not mandated for tirzepatide, but baseline and periodic testing should be considered for high-risk patients, including those over 65, on concurrent metformin, with gastrointestinal disorders, or experiencing symptoms such as fatigue, neuropathy, or cognitive changes
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Potential Side Effects : Mild irritation, redness, or an allergic response if the skin barrier is compromised or the patient has hypersensitivity to certain ingredients
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