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Symptoms of vitamin B12 deficiency Symptoms tend to develop slowly and may not be recognized immediately

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The reason is straightforward: tendons and ligaments have poor native blood supply, which means they heal slowly under the best circumstances and often stop progressing entirely after initial recovery

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If tirzepatide monotherapy does not produce desired results after 1216 weeks at therapeutic dosing, or if tolerance develops, your physician may consider adding phentermine or exploring alternative approaches