Food and Drug Administration (FDA) and are provided through a licensed compounding pharmacy operating within the scope of applicable federal and state regulations
Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)
Unlike many nutrients, B12 is produced exclusively by bacteria and obtained primarily through animal-based foods including meat, fish, eggs, and dairy products
References Kraus D, Yang Q, Kong D, et al
Once imbalanced, it can lead to decreased bone mass, osteoporosis, and increased risk of fractures