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The pathophysiology of elevated vitamin B12 in clinical practice Elevated levels of serum cobalamin may be a sign of a serious, even life-threatening, disease

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These are 1000 mcg, given once a month

B12 is just one of the many untested additives used in the mass production of compounded GLP-1s under the guise of personalization. Mass compounders and supposed personalizers seeking to circumvent the law are also mixing tirzepatide with glycine, pyridoxine, niacinamide, carnitine, or other chemicals, creating a range of new and untested combination drugs

Dig Dis Sci 1997;42:1571-9

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