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Treatment with Zepbound follows a gradual dosing plan: Starting Phase: The healthcare provider begins you on the lowest effective dose to minimize side effects

Vitamin B6 is required for tryptophan metabolism, and with insufficient amounts, xanthurenic acid accumulates

Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

Natural Bacterial Balance: Your skin relies on a stable balance of bacteria to stay healthy and resilient

These effects are dose-dependent and typically resolve within 48 weeks as GLP-1 receptor density downregulates in the gut