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One contaminated vial means degraded peptide and wasted money

In the absence of vitamin B12 supplementation, unusually high vitamin B12 levels in the bloodstream may sometimes indicate underlying health conditions, including: 10 Several forms of liver disease, such as acute hepatitis, cirrhosis, and liver cancer Certain blood cancers, including leukemia and polycythemia vera Hypereosinophilic syndrome, a group of blood disorders that may lead to organ damage 11 Does Having High Vitamin B12 Levels Mean Cancer

So I agree with Fisher that, if safe, the drug could only be used in addition to other skin protection measures

At the 5 mg dose of tirzepatide, 5.1% of participants (32 cases) experienced hair loss