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However, therapeutic doses for treating deficiency range from high-dose oral supplements (1,0002,000 g daily) to intramuscular injections of 1 mg, particularly for pernicious anaemia or malabsorption conditions

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Juntendo Med J

In placebo-controlled trials of tirzepatide injection for type 2 diabetes mellitus other side effects included: Dyspepsia (15-18%) Burping Dizziness Injection site reaction Increased from baseline of serum pancreatic amylase concentrations of 33-38% and serum lipase concentrations of 31-42%