Hold GLP-1 agonists on the day of the procedure/surgery for patients who take the medication daily
the medication is contraindicated in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 [1] Oral contraceptives : Tirzepatide can reduce exposure to oral contraceptives
Vitamin B12 deficiency is primarily caused by autoimmune pernicious anemia, dietary restrictions such as vegetarian or vegan diets, and medical conditions that interfere with absorption such as celiac and Crohns disease
Brattstrm L, Landgren F, Israelsson B, Lindgren A, Hultberg B, Andersson A, Cuskelly G, McNulty H, Strain SS, McPartlin J, Weir DG, Scott JM, den Heijer M, Brouwer IA, Blom HJ, Bos GMJ, Spaans A, Rosendaal FR, Thomas CMG, Haak HL, Wijermans PW, Gerrits WBJ, Naurath HJ, and Joosten E (1998)