This is likely placebo effect or vasodilation response, as tissue B12 saturation requires 24-48 hours
When it comes to GLP-1s and birth control, Zepbound and Mounjaro, both newer GLP-1s, share the same active ingredient tirzepatide which works by delaying gastric emptying, a process that may reduce the absorption of oral contraceptives into the system
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Invest Ophthalmol Vis Sci 2013;54:3932-3940
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Pharmacogenomics 20 , 273277 (2019)