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doi:10.1111/j.1432-1033.1997.00273.x

If you take both metformin and tirzepatide, your risk of B12 deficiency is compounded (no pun intended)

Your stomach acid, liver enzymes, and intestinal barriers all take their toll, breaking down much of the NAD+ before it ever reaches your cells
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They are not a replacement for evidence-based care
