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There is growing evidence that other B vitamins, vitamin D and magnesium may also be impacted by metformin use in addition to alterations to the composition of the microbiome, depending on the dose and duration of therapy

But tirzepatide doses tend to be higher (up to 15mg weekly), requiring different water volumes to keep injection volumes manageable

Arch.Dis.Child 1971;46(246):189-194

Before recommending a peptide, we look at your health history, current treatments, and goals, and we talk through why a specific peptide may or may not be a good fit