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Holotranscobalamin (active B12) where available, this is a more sensitive early marker of B12 depletion and may be preferred in some settings [12] [15] Full blood count to identify macrocytosis or anaemia Folate levels as folate deficiency can co-exist and confound the clinical picture Methylmalonic acid (MMA) and homocysteine functional markers of B12 status, useful when serum B12 is borderline
As you titrate up, costs increase because you go through vials faster
So, I mean, it's a gray area and I'm not gonna, I'm not gonna go around, you know
doi: 10.3390/nu12051474 122 MarkowiakP.liewskaK
Workplace Health & Safety, 66 (4), 191200
Here is how to think about it clearly: Choose tirzepatide if: Maximum weight loss is your priority, you have insulin resistance or a high BMI, you previously plateaued on semaglutide, or your insurance covers Zepbound or Mounjaro
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