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Patients using compounded tirzepatide with B12 should monitor closely for signs of infection at injection sites, including increasing redness, warmth, swelling, pain, or purulent drainage, which may indicate contaminated product
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The risk groups remain consistent: people eating plant-based or low-meat diets, adults over 50, long-term users of metformin or proton pump inhibitors, anyone with GI absorption issues, people on GLP-1 protocols with significantly reduced food intake, and heavy alcohol users
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