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I would not recommend it as a first-line approach
The cost typically ranges from $350 to over $1,200 per month, depending on the specific services and plans provided
For tirzepatide, restart at 2.5 mg weekly
In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation
Unfortunately, not all peptides on the market are created equal , and obtaining products from unverified sources can lead to issues with purity, potency, and patient outcomes
PLoS Pathog 8(11):1002977
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