But the symptoms you're attributing to high B12 are real, and they're worth investigating
Because Zepbound is FDA-approved, the SURMOUNT-1 trial result (22.5% mean weight loss with 15mg tirzepatide over 72 weeks) applies to it unlike compounded tirzepatide, which is not FDA-approved and has not been evaluated at that trial scale
Base prices for most injectable GLP-1 drugs are about $1,000 per month, and insurance coverage varies widely
However, the major enzymes of the fatty acid biosynthetic pathway, such as acetyl-CoA carboxylase (ACC) and fatty acid synthase (FAS), are expressed in neuronal regions of the hypothalamus that are involved in energy homeostasis
Carbohydrate-heavy foods can also lead to spikes in blood sugar levels, counteracting the medication's intended effects