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Testing ketones is not necessary unless you are specifically pursuing ketogenic dieting alongside tirzepatide therapy

Generally, primary care physicians are not used to using the proper form or dose of B12 levels

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Your GP will investigate other common causes of elevated B12, including myeloproliferative disorders, excessive supplementation, renal failure, and certain cancers, whilst assessing whether your liver disease has progressed to a stage causing cellular damage

And this is certainly the case when it comes to testosterone