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Khan A, Shafiq` I, Hassan Shah M (2017) Prevalence of Vitamin B12 Deficiency in Patients with Type II Diabetes Mellitus on Metformin: A Study from Khyber Pakhtunkhwa

When you dramatically reduce caloric intake, which tirzepatide naturally causes, B12 demand can increase while dietary intake decreases

Huang, B., Song, B

Patient satisfaction was moderate