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LWT Food Science and Technology, 44(1), 2428

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This condition consists of depleted iron stores with ferritin levels lower than 10 mcg/L, plus an RBC count falling below normal range with hemoglobin below 12 g/dL and hematocrit below 36% for women and 41% for men

If you want a deeper breakdown of digestive side effects, our article on tirzepatide side effects and how to manage them is a helpful companion read

They should: Perform a thorough medical screening: Review your full health history to ensure Wegovy or Zepbound is safe for you

So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant