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Will B12 injection work right away

Any potential impact on blood sugar is likely secondary to the underlying condition rather than a direct effect of high B12 19

By inhibiting NNMTs consumption of SAM, 5-Amino-1MQ may affect the methylation status of various cellular targets

When B12 is low, this conversion stalls and MMA rises

The key difference is in dosing, as tirzepatide escalation starts at 2.5mg rather than 0.25mg, which means much larger weekly doses and faster vial consumption

Where if a person consumes an adequate amount of vitamin B12 in their diet, their body may not be able to absorb it effectively, which can lead to deficiency