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Do not discontinue prescribed B12 treatment without medical advice, as this may be managing an important deficiency state

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Mechanistically, this was associated with increased expression/internalization of VEGFR2 and activation of downstream Akt-eNOS signaling (Hsieh 2017)

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doi: 10.1111/j.1439-0272.2009.01013.x 89 IllianoETramaFZucchiAIannittiRGFiorettiBCostantiniE

They are encouraged to: Its recommended to work with a dietitian to create a personalized meal plan that aligns with Tirzepatide therapy