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Vitamin B12 deficiency is the dominant nutritional cause of hyperhomocysteinemia in a folic acid-fortified population

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Serving Size: 3 Pumps (0.5 mL) Amount Per Serving: Vitamin B12 (as hydroxocobalamin)

Unlike Mounjaro and Zepbound, which come in injection pens, our compounded tirzepatide is provided in vials with syringes

Most practitioners recommend starting at 250-300 mcg daily to assess tolerance, then potentially increasing to 400-500 mcg if initial response is suboptimal and no side effects occur