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Multivitamin B3 levels (typically 1420 mg) are far below the pharmacologic threshold required to produce glucose-raising effects or significant GI side effects

In some cases, patients needed medical care or had to go to the hospital because of the side effects from dosing errors (which has prompted some countries, like Australia, to ban compounded tirzepatide)

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How do Vitamin B12 Injections work

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If you have been making consistent, documented efforts without results, it is worth speaking to your GP, who can arrange appropriate blood tests and investigations to rule these out