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If your protocol is headed toward these higher doses, switching to the 1ml reconstitution when you move past 5mg simplifies the process

In fact some research suggests that B12 analogues may compete with B12 leading to the metabolism being inhibited

Aging athletes, especially those over the age of 60, are also at risk for deficiency with age-related atrophic gastritis, low stomach acid, and an inadequate amount of a certain protein needed to absorb B12 (intrinsic factor)

Taking Mounjaro (tirzepatide) and insulin together significantly increases your risk of having a 'hypo' (hypoglycaemia), which is when your blood sugar levels drop too low