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Patients can also access oral semaglutide at $289/mo (or $249/mo on the 6-month plan), compounded tirzepatide injections at $289/mo month-to-month, or from $249/mo on the 6-month plan, or the GLP-Squared dual-compound formula blending both agents at $289 monthly for injections

Although further study of these interactions is necessary, patients receiving these agents concurrently should be monitored for the desired therapeutic response to vitamin B12

Biological factors include age, hormonal status, nutritional deficiencies (particularly vitamin D, calcium, and protein), smoking, diabetes, and certain medications