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As soon as we have your tracking number, we will email you.

For example, those with more severe deficiencies or certain health issues might need different doses

Any disruption along this pathway can lead to deficiency regardless of dietary intake, which is why some patients need supplementation even when they eat B12-rich foods

Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

Others require 2.4 milligrams to match their previous tirzepatide effects