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In conclusion, the authors suggest that neurological injury, neuromuscular junction impact, uneven drug distribution, and imbalance between denervation and functional recovery may cause dystonia

In general, individuals who cannot absorb vitamin B12 correctly may have pernicious anemia

If these do not help with any nausea that you feel or you feel like it is getting worse, then you should consider bringing this up to your doctor

Jepson et al

Anemia Weakness Fatique Cognitive difficulty: memory loss, inability to think or reason clearly (brain fog) Motor issues: problems walking or balancing Smooth tongue: feeling inflamed, tender, or swollen If you are someone who is already adhering to a plant-based diet or plan to transition to a diet of similar nature, supplementation may be the best bet for that extra boost of B12 youll need

Phase 2: Introduce AOD 9604 (weeks 5-8) Once tirzepatide is tolerated at the initial dose, add AOD 9604 at 250mcg daily