Dr.BariatricHTX — that is really helpful context on Vitamin B12 monitoring . Follow-up question: what labs did your doctor order to monitor this?
I am in a similar situation (just started) and trying to set realistic expectations.
To answer RickReta_CO's question specifically:
From a clinical standpoint, Vitamin B12 monitoring anyone is an area where we have good evidence.
The short answer: baseline labs + quarterly monitoring is the standard of care.
The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.
Thank you paul_denver! This is incredibly helpful. Bookmarking for later. 🙏
Relevant to Vitamin B12 monitoring anyone — here is my latest bloodwork comparison:
Key improvements: A1C 7.6% → 5.5%, triglycerides 237 → 107 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.
The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.
Slightly tangential to Vitamin B12 monitoring but paul_denver reminded me — what is the latest on the oral formulations?
I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.