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For multi-dose vials (which most tirzepatide vials are), bacteriostatic water is the correct and safe choice

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Follow your providers recommended frequency (typically weekly B12 or once-twice weekly lipo shots) consistentlymore frequent dosing wont improve results and may increase side effect risk

Below 0.9%, the concentration is insufficient for reliable inhibition

It is used in adults for the long-term treatment of anemia caused by vitamin B12 deficiency (called pernicious anemia) after blood levels have been brought back to normal through treatment with vitamin B12 injections.