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Surgery is not for everyone, and the decision belongs in a conversation with a primary care provider and a surgeon

The small amounts in compounded tirzepatide pose essentially no risk

B12 is available in a variety of forms, including injections, oral supplements, and nasal sprays

B-vitamin B12 shots are injectable doses of cobalamin given into a muscle when your body either cant absorb enough B12 or you have a verified deficiency

Certain medications like metformin for diabetes or proton pump inhibitors for acid reflux can actually reduce B12 absorption, which might be why youre deficient in the first place

It is the why NNMT is interesting at all paper