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If nothing explains it, a sensible next round usually includes a repeat B12 to confirm the finding is not a one-off, a full blood count, and liver enzymes such as ALT and AST

We discussed the benefits of B

Tirzepatide cannot be prescribed to anyone with the following and should not be purchased: BMI under 27, eating disorder, gallbladder disease, drug or alcohol abuse, recent bariatric surgery, pancreatitis, medullary thyroid cancer, currently pregnant or breastfeeding, planning to become pregnant, Diabetic retinopathy, Multiple endocrine neoplasia type 2, family history of medullary thyroid carcinoma thyroid carcinoma

Guney-Coskun M, Basaranoglu M

PMID: 23075564

The delayed gastric emptying affects alcohol absorption, often causing intoxication from smaller amounts than previously tolerated