Compounded tirzepatide carries the same pharmacologic risks because the active molecule is the same
For example, if rheumatoid arthritis progresses long enough, the swelling in the wrist can cause carpal tunnel syndrome
This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)
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