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In the states, cyanocobalamin is the gold standard and is easily obtainable but I suspected I was getting other issues so I switched first to methyl and then hydroxocobalamin which is more easily converted to the forms the body can uptake and use

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Again, tirzepatide appears to be more potent, generating average losses of approximately 20% at the highest doses (10 and 15 mg/week) administered for 72 weeks (Figure 5B)