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Repeated injection in the same exact spot causes lipohypertrophy, a thickening of the subcutaneous fat tissue that creates permanent or semi-permanent bumps

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Inadequate levels of Vitamin B12 can also contribute to mental health challenges such as depression, cognitive fog, dementia, and memory issues

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Phase 1: Establish tirzepatide baseline (weeks 1-4) Start tirzepatide alone at 2.5mg weekly