Anyone can be affected, but some groups are more at risk: Vegetarians and vegans, since B12 mainly comes from animal products Older adults, as absorption gets harder with age People with digestive issues like Crohns or coeliac disease Those taking certain medications, such as long-term metformin or stomach acid reducers People with pernicious anaemia, an autoimmune condition that stops you from absorbing B12 If you fit into one of these categories and notice symptoms, its worth getting your levels checked
Many patients taking tirzepatide are also prescribed other medications that can affect sexual function, including: Antidepressants (particularly SSRIs) Some antihypertensive medications (especially thiazide diuretics and beta-blockers) Hormonal contraceptives Important contraceptive information: Tirzepatide can reduce oral contraceptive exposure after initiation and dose increases
(accessed 26 Mar2025) (2025)
some muscle loss is expected with significant calorie restriction regardless of the drug used
It is explicit that this is different from prescribing for cyst reduction
Studies indicate that GLP-1R (glucagon-like peptide-1 receptor), GIPR (glucose-dependent insulinotropic polypeptide receptor), and GCGR (glucagon receptor) act as crucial "regulators" in maintaining human blood glucose balance and are important therapeutic targets for type 2 diabetes and obesity