It could point to several things: A different cause: your fatigue might stem from thyroid problems, iron deficiency, or sleep apnea rather than B12
I have extensive experience in weight loss, thyroid management, PCOD/PCOS, weight gain, and diabetes & prediabetes care
No Disease Claims: This compound is not intended to diagnose, treat, cure, or prevent any disease
Given tirzepatide's demonstrated efficacywith weight loss exceeding that achieved with other approved medications there is no evidence of additional benefit from adding lipotropic injections , and this combination is not endorsed by clinical guidelines
While losing some lean mass during aggressive weight loss is expected, this ratio is favorable compared to diet-only approaches where lean mass losses can reach 30-40%