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Andra Picincu, CN, CPT Author Andra Picincu is a certified nutritionist, personal trainer, and content writer with more than 15 years of experience

Pharmacies using non-B12 formulations Some pharmacies compound tirzepatide with glycine alone, without B12

Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms