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Nayana Shetty, MBBS, MD Symptoms like fatigue, memory issues, dizziness, numbness or tingling in the hands and feet, and pale skin can indicate a vitamin B12 deficiency

People might notice decreased appetite, indigestion, or alternating bouts of diarrhoea and constipation

Required supplies You will need your tirzepatide vial (lyophilized powder), bacteriostatic water (not sterile water, not saline), alcohol swabs (70% isopropyl), insulin syringes (U-100 type, typically 1 mL or 0.5 mL), and a clean, flat workspace

For someone starting at 220 pounds, that translates to roughly 46 pounds of total weight reduction over a standard treatment course

NHS treatment schedules are determined by your GP