This is measured via the Mean Corpuscular Volume (MCV) test common to most blood panels
Instead of asking 'why not stack them,' the question becomes 'what specific outcome justifies adding a second compound with incomplete human safety data?' For research exploring maximal metabolic intervention where single-agent tirzepatide has plateaued, the stack may be defensible
They also identified significant quantities in blood (7)
Most medical documents indicate you might experience any of these: Mild diarrhea and/or upset stomach Difficulty breathing or swallowing Weight loss or weight gain Nervousness or restlessness Nausea or vomiting Headaches or migraines Paresthesias (tingling sensations) Rhinitis (chronic sneezing or a congested, drippy nose) Skin reactions, such as rash, itching, swelling, blisters, or pain at the site of injection Light joint pain Lightheadedness or dizziness Chest pain or discomfort Low blood potassium levels Irregular heartbeat Chills, night sweats, fever, or hot flushes General feeling of sickness However, people often fail to recognize that many side effects of vitamin B12 injections are consistent with B12 deficiency itself