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Compounded tirzepatide formulations, including those with B12, present distinct safety considerations that differ from FDA-approved products
Alcohol metabolism and epigenetics changes
This group includes other notable drugs such as liraglutide (marketed as Victoza and Saxenda) and the newer tirzepatide (marketed as Zepbound and Mounjaro)
Whilst many symptoms improve with appropriate B12 treatment, not all resolve completely, especially if neurological damage was severe or prolonged before treatment commenced
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