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What an unexplained high B12 can point to If you take no supplements, have had no injections, eat no heavily fortified products and your B12 is repeatedly high, the pattern is worth investigating
It is the single most important macronutrient when you are on semaglutide or tirzepatide , and the one most people consistently under-consume
These findings suggest that repetitive element methylation may be less sensitive or not consistently altered by NS exposure compared to specific gene methylation 227
Other options to discuss with your provider Beyond semaglutide and tirzepatide, the GLP-1 landscape is expanding
This may be plausible given the interspersed heterologous contact between alfa- and beta-cells in the pancreas of primates (89, 90), and the possibility that beta-cells may have cytoplasmic extensions that span alfa-cells (89)
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