The second is improved insulin sensitivity and the third is enhanced fat oxidation
The only circumstances in which I wouldn't recommend cyanocobalamin is if there is a family history of lebers syndrome (quite a rare hyper-sensitivity to the cyano molecule
Cathepsin L, transmembrane peptidase/serine subfamily member 2/4, and other host proteases in COVID-19 pathogenesis - with impact on gastrointestinal tract
Or explore alternative tirzepatide delivery methods that may reduce GI side effects
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Remember, this information should not replace consultation with a healthcare professional