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Food and Drug Administration (FDA) about these findings and recommends that people using these untested products contact their physicians for advice and discussion on alternative treatment options.” The Study Identified a Chemical Reaction Between Tirzeptide and Vitamin B12 Lilly’s laboratory testing found that the interaction between tirzepatide and vitamin B12 produced a molecule larger than tirzepatide alone — a change that could theoretically affect how the drug is absorbed, distributed, metabolized, or eliminated in the body, the study authors wrote