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Pregnant women require 1.5 g daily (the same as non-pregnant adults), whilst breastfeeding mothers need 2.0 g to support both their own requirements and those of their infant through breast milk

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Regular monitoring may be appropriate, especially if symptoms of deficiency develop

But heres what we do know: Some people experience gastrointestinal side effects on tirzepatide, such as nausea, vomiting, diarrhea, or constipation Vitamin B12 supplementation is generally considered safe, but high doses might cause headache, nausea, or bowel changes Side effects for both usually improve with time as the body adjusts If youre curious about taking tirzepatide and B12 together or if you are unsure whether you may have nutritional deficiencies, talk to your provider before making any changes

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