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Rescue therapy was used in 8% of patients treated with add-on sitagliptin 100 mg and 29% of patients treated with add-on placebo

B12 shots are also not recommended if you have a history of issues like leukemia, myeloma, or certain types of anemia not caused by B12 deficiency

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Studies summarized by the American College of Cardiology and pooled in the NIH PMC archive found tirzepatide produced significantly greater average weight loss, though individual results still vary