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The cost and availability of auto-antibodies testing, such as intrinsic factor and anti-parietal cell antibodies, can be a barrier to further investigation for vitamin B12 deficiency to exclude pernicious anemia
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For someone who tolerates tirzepatide well and wants the amylin add-on, it is a defensible choice
These include gastrointestinal disorders, such as Crohns disease or celiac disease, and surgeries like gastric bypass that alter the digestive tract
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