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Tirzepatide is a synthetic peptide used in laboratory research to investigate metabolic signaling pathways involved in energy balance and nutrient-responsive processes

This can happen when the levels are low normal, usually about 200 to 400 [ng/dL], depending on the lab where the B12 is measured

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Baser H, Can U, Baser S, Yerlikaya FH, Aslan U, Hidayetoglu BT (2015) Assesment of oxidative status and its association with thyroid autoantibodies in patients with euthyroid autoimmune thyroiditis