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Theres not enough evidence to show the possible negative effects of taking high doses of vitamin B12.

For prescribers and patients navigating this landscape, the ProRx case highlights the broader risks that come with sourcing compounded versions of high-demand drugs

PloS Pathog (2021) 17(2):e1009210

Quick Answer: Lightheadedness with tirzepatide typically occurs indirectly through hypoglycemia when combined with other diabetes medications, dehydration from gastrointestinal side effects, or orthostatic hypotension related to weight loss

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