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It is not apparent whether smaller amounts, such as the 25 mcg or so found in multivitamins, are sufficient to cure deficiencies
These additives have no proven clinical benefit for patients taking tirzepatide, and the resulting combinations introduce unknown risks for patients
[1] [3] The standard UK treatment involves hydroxocobalamin 1mg intramuscular injections, with dosing regimens typically consisting of initial loading doses (e.g., every other day for two weeks) followed by maintenance doses every 2-3 months for conditions like pernicious anaemia
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