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Patients using compounded tirzepatide with B12 should monitor closely for signs of infection at injection sites, including increasing redness, warmth, swelling, pain, or purulent drainage, which may indicate contaminated product

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Liu M, Fang X, Yang Y, Wang C

If reticulocytes have not increased after treatment or if reticulocyte counts do not continue at least twice normal as long as the hematocrit is less than 35%, diagnosis or treatment should be reevaluated

These factors can influence the speed at which medications are absorbed, distributed, and eliminated, necessitating adjustments to dosage regimens to ensure optimal effectiveness and safety

The Lancet (2021) 6