can tirzepatide still be compounded With B6 (Pyridoxine) Mounjaro vs. Compounded Tirzepatide —

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The symptoms could represent: Progressive diabetic neuropathy requiring tighter glycemic control Pyridoxine toxicity requiring immediate B6 discontinuation An unrelated cause requiring neurological workup Distinguishing between these requires a careful medication and supplement history, sometimes nerve conduction studies, and at minimum a trial of B6 dose reduction

Tirzepatide produces sustained metabolic changes over months, with durability supported by the STEP clinical trial series showing weight reductions of 1522% at maintenance doses

Ann Thorac Surg 96(4):1138-1145, 2013

At the 2.5mg/ml concentration, that is 10 units on an insulin syringe