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Deficiency can be due to inadequate dietary intake, especially in vegans, but is otherwise more likely due to problems with absorption, which is more complex than that of other vitamins
While renal excretion is minimal, caution is advised in patients with severe renal impairment due to potential accumulation
A lot of GLP-1 users do not feel hungry, so they accidentally wait too long
Is compounded tirzepatide available in oral pill form like some semaglutide options
124 National Center for Biotechnology Information (2023h)
However, for patients at higher risk (those with significant gastrointestinal symptoms or early in dose escalation), holding the medication or modifying the regimen may be appropriate
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