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Tirzepatide (marketed as Mounjaro for diabetes and Zepbound for weight management) represents billions in annual revenue for Lilly

However, certain groups may be at greater risk for this problem, including: Vegetarians Vegans Older adults People with digestive problems Signs of a B12 deficiency include fatigue, anemia, muscle weakness, nerve problems, mood disturbance, and intestinal problems

It's a frustrating, expensive, and entirely avoidable problem

Severely damaged red neurons, without any inflammatory reaction, were present in all animals, in more then one half of hippocampal neurons, neurons of the dentate nucleus, Purkinje cells and other cerebellar nuclei