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Many patients feel benefits within hours to days, depending on the injection

Phentermine and Mounjaro (tirzepatide) work through different pathways in the brain and body, but taking them together carries risks that physicians rarely recommend

Vitamin B12 is especially of concern, as gastric surgery might impacts the part of the stomach that makes a special intrinsic factor needed to absorb vitamin B12 in the ileum or the last part of our small intestine

Unlike fat-soluble vitamins, water soluble vitamins are not stored in the body to a significant extent and are excreted in urine and perspiration (3)

Complete our online health assessment, share any recent labs (especially B12 and folate if available), and connect with a licensed provider