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Some patients get progressively better, and after a series of treatments, they no longer require ongoing weekly Vitamin Therapy, only monthly treatments to maintain balance

According to the MHRA Summary of Product Characteristics, additional contraceptive precautions (such as barrier methods or non-oral contraception) are recommended for 4 weeks after starting tirzepatide and for 4 weeks after each dose increase

Once B 12 reserves reach normal levels, injections of vitamin B 12 will be needed every one to three months to prevent symptoms from returning

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The loading phase requires 4mg to 5mg weekly for the first month, which represents a meaningful investment