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Oct2020;223(4):557.e1-557.e11

Vitamin B12 is naturally found in animal-based foods such as meat, fish, poultry, eggs, and dairy products

This completely bypasses the digestive system, avoiding the very absorption issues that tirzepatide creates

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Visualization of a ureteral dilation (hydroureter) in this location should raise suspicion for distal urinary tract obstruction, commonly caused by a ureteral stone near the ureterovesical junction (UVJ), although other causes such as strictures, external compression, or bladder pathology should also be considered