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Other means are available for diagnosing the presence of B12 malabsorption caused by PA, the autoimmune disease that destroys the cells producing intrinsic factor

It was approved by the FDA in 2002 for the treatment of postmenopausal women and men with osteoporosis who are at high risk of fracture

You can cycle off for an equal duration before starting another round if needed

That is because it is not an approved medicine and is not sold for human use

Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)