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A B12 deficiency takes years to manifest because the body builds up significant reserves of B12, with the majority being stored in the liver, around 4-5 mg

Substituting tirzepatide for semaglutide is a theoretical extension of that idea pairing an amylin analog with a more potent dual incretin agonist but it is important to repeat that this specific pairing has not been validated in a dedicated human combination trial

Pre-existing conditions: Generally safe even with most health conditions since it doesn't affect blood sugar, blood pressure, or hormone levels

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Oxidative stress and male infertilitya clinical perspective