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Many compounded formulations of both tirzepatide and semaglutide now include B12 specifically for this reason

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Further analysis of the results from this trial failed to demonstrate any significant associations between GLP-1 RAs and hair loss, although a borderline significant value was found linking tirzepatide and a specific type of hair loss known as telogen effluvium, suggesting a potential contribution of tirzepatide to this condition

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It makes people quit entirely, sometimes just weeks before the results would have started showing

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