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The injectable B12 in your compounded formulation provides direct supplementation, but the dose may not be sufficient for everyone, particularly those who were already B12-deficient before starting treatment

A comprehensive approach addressing all contributing factors is typically necessary for optimal outcomes

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Tirzepatide is a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist approved by the FDA for chronic weight management in adults with obesity (BMI 30 kg/m) or overweight (BMI 27 kg/m) with at least one weight-related comorbidity

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I started 10 months ago, I was 190