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Monitoring Clinical Response and Adjusting Treatment Its vital to watch how patients react to B12 injections, mainly in severe cases
In general, individuals who cannot absorb vitamin B12 correctly may have pernicious anemia
Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)