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Check when symptoms happen and what might cause them Monitor heart rate and blood pressure Help with hydration and controlling electrolytes Make changes to doses if needed Recommend heart tests when necessary Patients undergoing tirzepatide treatment at our San Marcos clinic get regular check-ups to catch and manage symptoms

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A consequence of this "Dogma" is that if a person does not have vitamin B12 levels lower than a highly variable amount, dependent upon study(148 pmol/L Minverva etal, 2021