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A review paper published in 2010 that discussed the relationship between thyroid dysfunction and metabolic disorders, highlighted the fact that patients with diabetes were up to three times more likely to develop a thyroid disorder

[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking

G., Yang, J., Santra, S., Santra, S., Chopp, M., & Morris, D

Methods 61 , 156164 (2013)

The economic toll is substantial, with global losses estimated at up to US$2 billion annually 5 , reflecting both direct damages and lost ecosystem services