Severe deficiency can contribute to fatty liver changes, which is one reason choline gets framed as liver support. Details are summarized in the NIH ODS Choline fact sheet for health professionals
Monitoring nutrient status while on tirzepatide with B12 Baseline laboratory assessment before starting tirzepatide should include B12 levels, complete blood count (CBC), comprehensive metabolic panel (CMP), lipid panel, and HbA1c if you have diabetes or prediabetes
Mohammed has spoken to Business Insider in the past about his peptide strategy, and says he takes a conservative approach to prescribing, emphasizing nutrition, exercise, adequate sleep, stress management, and social connections as the key cornerstones of any wellness plan
But theres no evidence that taking B supplements would prevent these bone problems