Slightly tangential to Vitamin B12 monitoring but Dr.Martinez 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.
Thanks for sharing this, Dr.Martinez. A few questions about your Vitamin B12 experience:
- What dose worked best for you?
- How long before you noticed appetite suppression kicking in?
- Did your endo have any specific recommendations about Vitamin B12?
I am in a similar boat and trying to learn from others' experiences before my next appointment.
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Shop Reference StandardsOP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Vitamin B12 monitoring .
To answer AttorneyGrant: yes, I am on compounded sema from a 503B pharmacy.
Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏
Relevant to Vitamin B12 monitoring — here is my latest bloodwork comparison:
Key improvements: A1C 7.6% → 5.5%, triglycerides 197 → 97 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.
The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.