HDL-C did not change between tirzepatide and either placebo or dulaglutide [60]
A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented
Although some authors [31, 32] recommend the use of moderately high doses (which have obtained the best results), studies are still being performed to investigate this
In practical terms: using a degraded vial may mean youre administering a lower-effective dose, or in worst case, a contaminated or inactive product
Certificate and support CPD certificate on completion - this confirms online theory completion, not hands-on treatment competency