According to the National Nutrition Survey (2008), the average cobalamin intake of the German population, which primarily follows a mixed diet, is just above the recommendations of 4 g/day
The earlier 12-week Phase 2a trial had shown encouraging results (2.6 kg vs 0.8 kg for placebo), but the larger, longer, better-powered trial reversed that finding
The impurity caused by the interaction between B12 and compounded tirzepatide is concerning because nothing is known about its short- or long-term effects in humans, the potential impact on the drugs interaction with the GLP-1 and GIP receptors, toxicity, immune reactions, or how it is absorbed, distributed, metabolized and eliminated
The compound has been considered in studies of SAM availability and methylation-dependent cellular mechanisms
Current Obesity Reports, 8(2), 156164.