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High Blood Pressure : Severe anemia caused by Vitamin B12 deficiency can occasionally result in elevated blood pressure

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This then become a chronic issue with associated pain

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There have been some reports of pulmonary aspiration (a complication where food from your stomach is inhaled into your lungs) while under general anesthesia or deep sedation in people taking tirzepatide, likely due to delayed stomach emptying

Some people also notice an improvement in their overall sense of well-being and a reduction in symptoms associated with deficiency, such as tingling or numbness in the extremities