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Tirzepatide + B12 This formulation pairs compounded tirzepatide the dual GIP/GLP-1 receptor agonist with vitamin B12 in a single weekly injection
As damage accumulates with age and NAD+ falls, repair capacity is compromised (Fang et al., 2017)
Cases of allergic reactions to hydroxocobalamin with tolerance to cyanocobalamin were documented in several instances (1, 2, 3)
Two patterns I see clinically: The form of B12 matters
Only inject if there is no blood present
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