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Folate must be checked alongside B12, and folate deficiency should never be treated in isolation when B12 is low, because doing so can mask the anaemia while neurological damage progresses

The absence of any controlled data in this age group makes risk stratification essentially impossible

Any changes in TSH would more likely reflect an underlying thyroid condition unrelated to the medication

1 2 Appl Microbiol Biotechnol

How Semaglutide (Ozempic/Wegovy) or Tirzepatide (Mounjaro/Zepbound) Might Blunt Urges Both semaglutide and tirzepatide stimulate receptors in the gutbrain axis