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If you have a history of pancreatitis, the risk-benefit calculation changes unfavorably unless other factors strongly favor use and careful monitoring is in place

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Its also not a known side effect of another GLP-1, tirzepatide (Mounjaro, Zepbound)

Adults over 50 are more likely to develop B12 deficiency without realizing it, especially if symptoms like fatigue, memory loss, or mood changes are attributed to aging itself