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Tirzepatide is a glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist approved by the FDA for type 2 diabetes management and chronic weight management

Altered gut flora , or dysbiosis, can also reduce or prevent the extraction of nutrients (such as B12) from food

"Pernicious" means "harmful" or "destructive." This type of B12 deficiency anemia can affect many body systems and cause problems in your gut, heart, and muscles

Regular Check-ups: Regular check-ups with your healthcare provider are important to monitor your progress and ensure the treatments are working effectively

The FDA has approved semaglutide under two brand names: Ozempic for type 2 diabetes management and Wegovy for chronic weight management