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Making sure you are still eating adequate protein (at least 0.8-1g per pound of target body weight) and maintaining proper supplementation while on tirzepatide helps combat this

Encephalocraniocutaneous lipomatosis (Haberland syndrome): A mild case with bilateral cutaneous and ocular involvement

doi: 10.1016/j.ebiom.2023.104527 33 TroubatRBaronePLemanSDesmidtTCressantAAtanasovaBet al

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An important clinical paradox: elevated serum B12 can sometimes coexist with functional B12 deficiency