Record results as your baseline
As the authors point out, long-term proton pump inhibitor use is connected to serious side effects and increases the risk of some other potentially serious conditions such as Clostridium difficile associated diarrhea, osteoporosis, and vitamin or electrolyte malabsorption
doi: 10.1007/s10875-023-01548-x 98 MooreKJSheedyFJFisherEA
Commercial insurance coverage is more variable
B12 does not directly enhance the weight loss effects of tirzepatide, but it may improve the overall experience by mitigating fatigue, a common side effect
Cadmium - Cadmium can enter the body through inhalation of cigarette smoke, ingestion of contaminated food (especially shellfish, leafy vegetables, and grains), and occupational exposure in industries that produce batteries or smelt metals