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Infertility can also occur in individuals with insufficient B12

For instance, in the SURPASS-4 trial, where tirzepatide was compared with insulin glargine in patients with T2DM and a high cardiovascular risk, 15 mg of tirzepatide reduced the levels of TC, LDL-C, and TGs by 5.6%, 7.9%, and 22.5%, respectively, and increased the levels of HDL-C by 10.8%

JAMA Internal Medicine, 184 (7), 854

These include fresh produce and convenient formats of protein, like yoghurt or protein shakes