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[28] [29] Patients taking insulin or sulfonylureas may need dose adjustments to prevent hypoglycemia

Hot foods may cause nasal secretions and a resulting loss of medication or medication efficacy

The goal is not only to prevent deficiency but also to support better energy metabolism and more effective fat-burning

This may seem trivial now, but might not if we get to the stage where all who follow vegetarian diets are dismissed early on by GPs as having dietary B12 deficiencies

By activating both incretin pathways, tirzepatide enhances insulin secretion in a glucose-dependent manner, suppresses glucagon release, delays gastric emptying, and reduces appetite through central nervous system effects