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doi: 10.15171/apb.2016.026

If so, you may be able to benefit from B12 injections

The results showed that compared with insulin glargine, Tirzepatide showed better HbA1c and weight reduction in the population of type 2 diabetes patients in the Asia-Pacific region (mainly China): HbA1c reduction of up to 2.49% and weight reduction of up to 7.2 kg (9.4%) at 40 weeks of treatment, significant improvement in blood lipids and blood pressure, and overall safety and tolerability were good

But as mentioned, there's evidence to show that high oral doses of vitamin B12 can be just as effective at treating a deficiency

2010 Feb;32(2):79-81

Screening procedures help researchers maintain controlled conditions and improve consistency across studies
