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I eat a primarily healthy & vegetarian diet 85% of the time

Over-the-counter multivitamins do not have this much vitamin B12

Compounded tirzepatide formulations containing vitamin B12 typically appear pink to light red, contrasting with FDA-approved tirzepatide (Mounjaro, Zepbound), which is clear and colorless to slightly yellow

However, we do recommend moms wait until at least 6 months after giving birth for hormones and weight fluctuations to normalize before treating

Targeted peptide and vitamin therapies support recovery, energy, immunity, and tissue repair

For instance, mutations and polymorphisms in transport proteins such as transcobalamin TCN, gastric intrinsic factor GIF and metabolic enzymes such as methylenetetrahydrofolate reductase MTHFR have been associated with vitamin B12 deficiency. 2 Vitamin B12 deficiency may also occur if you have certain conditions, such as: Pernicious anaemia, which makes it hard for your body to absorb vitamin B12 (characterized by a lack of intrinsic factor individuals cannot properly absorb vitamin B12 in the gastrointestinal tract) Atrophic gastritis or inadequate production of stomach acid (occurs in 10-30% of older adults!) Helicobacter pylori infection in the stomach Surgery that removes part of your stomach or small intestine which can result in a loss of cells that secrete hydrochloric acid and intrinsic factor Bariatric surgery Gastrointestinal tract or weight loss surgery Conditions that affect the small bowel Crohns disease Celiac disease (11-41% of patients with celiac will have B12 deficiency) Small intestinal bacterial overgrowth (SIBO) Parasite infections (Giardia and tapeworm) Chronic pancreatitis Heavy alcohol use or advanced liver disease Autoimmune conditions Graves disease Lupus Malnutrition or eating disorders Long term use of medications Proton pump inhibitors H2 blockers Metformin Certain antibiotics 3 How does your body absorb vitamin B12