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Check your tirzepatide vial for any visible cracks, cloudiness, or discoloration before beginning

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Selenium toxicity can be a problem, especially for animals living in or around a body of water in an area with high soil selenium levels

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However, symptoms are far more likely to be related to underlying conditions that cause B12 elevationsuch as liver disease, kidney dysfunction, or haematological disordersrather than the elevated B12 itself