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Yes, tirzepatide can indirectly cause menstrual irregularities through significant weight loss and metabolic changes that affect reproductive hormone balance

Diabetic retinopathy complications: rapid improvement in glycemic control may worsen diabetic retinopathy acutely

Finally, decreased activation of the farnesoid X receptor (FXR) in the distal small intestine by bile acids may also contribute to impaired integrity of the intestinal barrier (127)

This symptom occurs because the vitamin plays a In the nervous system, vitamin B12 helps produce a substance called myelin that shields the nerves and helps them transmit sensations

Biochimica Biophysica Acta 14, 574575