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It potentially reduces inflammation by increasing microRNA-146a expression, thereby decreasing pro-inflammatory cytokines IRAK1 and TRAF6 [27]

Quick Answer: Tirzepatide has no established direct effect on vitamin B12 levels, but indirect factors such as reduced dietary intake, slowed gastric emptying, and concurrent metformin use may increase deficiency risk

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For a 20 mg vial , adding 2 mL of bacteriostatic water gives 10 mg/mL