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People who follow vegan or vegetarian diets, older adults, individuals with digestive issues (like Crohns or celiac), and those taking certain medications (like metformin or acid reducers) are at higher risk of B12 deficiency
Pathophysiology of constipation in the older adult
Furthermore, many patients prescribed tirzepatide for type 2 diabetes are concurrently taking metformin, which independently increases the risk of vitamin B12 deficiency through impaired calcium-dependent B12-intrinsic factor uptake in the ileum
Hypoallergenic: Free from common allergens, making it suitable for individuals with sensitive health conditions
Therapeutic prospective and limitations Limiting side effects is of particular importance regarding angiotensin-based antihypertensive drugs given the documented problems of dry mouth, nausea and dizziness, muscle soreness, and diuresis that may occur with ACE inhibitors and ARBs (Figure 1)
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