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In this scenario, choosing a compounded version with b12 added costs only slightly more than compounded semaglutide alone, making the combination potentially worthwhile even without clear medical necessity

Using microsimulation modeling, she evaluates cost-effectiveness and long-term outcomes to support data-driven, equitable obesity care

Unlike pre-filled injection pens that arrive ready to use, compounded tirzepatide in lyophilized form requires precise mixing before it becomes usable