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It refers to a compounded tirzepatide formulation that combines the dual GLP-1 and GIP receptor agonist (tirzepatide) with vitamin B12

Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin and Choline

[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration

The typical way to get the recommended daily amount of B12 is to consume it as part of your everyday diet

Severe allergic reactionssuch as difficulty breathing, rash, or swelling of the face and throatare extremely rare but require immediate medical attention