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Description
B12 injections are generally well tolerated

Urinary metabolomics of young Italian autistic children supports abnormal tryptophan and purine metabolism

The substantial weight reduction observed with tirzepatide monotherapy (15-21% body weight in clinical trials) suggests that any perceived benefits likely reflect tirzepatide's pharmacological effects rather than synergistic action

If this isnt shifting, your dose may need adjusting

High dose oral cobalamin may be a suitable alternative in selective cases, where intramuscular injections are not tolerated and compliance is not a problem
