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I was a bit skeptical about having Tirzepatide sent to me from an online company without going to a local doctor

Most compounded tirzepatide with B12 remains stable for 28-42 days when refrigerated properly
The vitamin B12 is included to help prevent the B12 deficiency that GLP-1 medications can sometimes cause through reduced food intake and altered gastric acid production

When to consider dose adjustment Severe or persistent side effects warrant evaluation
