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Only pre-filled injection pens (Mounjaro and Zepbound) manufactured by Eli Lilly are approved, as compounded or reconstituted powder forms carry risks of contamination, dosing errors, and unknown ingredient stability

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Animal studies have utilized subcutaneous doses of 2 to 10 micrograms per kilogram daily and oral doses of approximately 10 micrograms per kilogram daily

[1] Nitric oxide widens blood vessels and is a key signal for vessel health and growth

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Hydroxocobalamin offers superior absorption, longer retention, and greater efficacy versus cyanocobalamin and methylcobalamin, making it the preferred choice for severe deficiency and for those needing frequent injections