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Gulek, S., Anderson, G

Vitamin B12 deficiency is believed to be one of the most common nutrient deficiencies in the world, especially among people taking stomach acid-altering medications and antibiotics frequently, along with the elderly and sometimes vegetarians/vegans

The FDA does not approve compounded medications for safety, quality, or manufacturing

doi: 10.3390/ma11071154 100 GuoD.-S.WangK.WangY.-X.LiuY

You will need your tirzepatide vial (stored properly according to refrigeration guidelines ), a new sterile insulin syringe with an attached needle, alcohol swabs for cleaning the vial top and injection site, a sharps disposal container for used needles, and cotton balls or gauze for post-injection pressure