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None of those happen on tirzepatide

The New England Journal of Medicine, 387 (15), 14331434

An injection delivers the vitamin straight into the bloodstream

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Whenever an IV medication is prescribed, patients should discuss with their doctor the timing of treatment and how to prepare for administration

A reasonable candidate is someone who: Is already following a structured, clinician-supervised nutrition and activity plan Has a documented B12 deficiency or a condition that impairs B12 absorption Cannot tolerate GLP-1 medications, or is not a candidate for them Declines prescription pharmacotherapy and wants a non-stimulant, non-surgical adjunct Understands because the clinician has said so plainly that the injection is a supporting player A poor candidate is someone who wants the shot instead of the program