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Women of childbearing age should use contraception while on tirzepatide and discontinue the medication at least 2 months before attempting conception to allow complete washout given the long half-life

IV B12 protocols involve mixing the vitamin with saline and giving it over 30 minutes to an hour

Similarly, in a letter to the committee, the Alliance for Pharmacy Compounding urged the FDA to address safety concerns through targeted safeguards rather than outright restrictions

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Maintenance Phase: Once optimal B12 levels are achieved, the frequency of injections can be reduced

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