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Description
Cyanocobalamin and especially methylcobalamin are photosensitive, meaning light energy can break down their molecular structure
These include foods that are soft, low in fiber, cooked, and/or not spicy
Some may start with even lower doses if compounded formulations are available
Women using oral contraceptives should use an alternative or backup method for 4 weeks after tirzepatide initiation and with each dose increase due to potential reduced contraceptive effectiveness
Tirzepatide causes gastrointestinal side effects somewhat more frequently than semaglutide, likely due to its dual GLP-1/GIP action versus semaglutides single GLP-1 action
This changes the charge and shape of the peptide at that position
