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Vitamin B12 (cobalamin) is a water-soluble vitamin essential for neurological function, DNA synthesis, and red blood cell formation

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Tirzepatide carries a boxed warning for risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2

Nitrous oxide exposure (during surgery or recreational use) can inactivate B12 and cause rapid neurological deterioration in vulnerable individuals

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Air bubbles are normal in the Wegovy injection and do not affect your dose