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Regulations continue to evolve, so availability depends on current legal status and individual pharmacy practices

In the post hoc analyses of the study, a decrease in both serum AST and serum alanine aminotransferase (ALT) levels was recorded [47]

But the takeaway from this research is unmistakable

Who should consider alternatives Given the emerging safety data, several groups should particularly consider switching to a B12-free tirzepatide formulation with separate B12 supplementation

Standard recommendation: drink at least 2.53 liters of water daily, and more if you exercise
