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In a 2020 case study, researchers reported a young woman treated with multiple daily doses of 1 milligram (mg) of cyanocobalamin (synthetic vitamin B12) for severe pernicious anemia (lack of red blood cells due to vitamin B12 deficiency)

Patients have used it for decades in Eastern Europe without toxicity

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Common side effects to monitor Tirzepatide can cause gastrointestinal side effects, especially during the early weeks or after dose increases

Such therapy is used to treat PCOS symptoms such as hirsutism, acne, and menstrual disorders (132, 134)

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