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The last limitation was using the MDA level to be an indicator of oxidative stress since the MDA level might be affected by the ongoing liver injury

All other authors: Z.L., M.G., A.Z., X.F., K.M., M.M., X.S.L., Z.Y., J.M., T.T., K.C., M.H., L.H., K.G., T.T.V., D.W., A.M.G., P.Q., C.A.M., J.M.B., D.J.L., D.A.W., and T.E.S

Hydration: Adequate water intake is crucial for maintaining optimal absorption of injected B12

Tirzepatide Dosing Schedule: The initial dose of 2.5 mg weekly helps the body adjust to the medication and minimizes side effects such as nausea, digestive discomfort, and diarrhea

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