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Because the body can convert cyanocobalamin to any one of the active vitamin B12 compounds, by definition this makes cyanocobalamin itself a form (or vitamer) of B12 Drug Shortage Alert Warning No, More from Hikma Pharmaceuticals USA Med-Plus, Inc has been in the medical supply business for over 27 years

While no studies have specifically examined this in tirzepatide users, the biological plausibility is sound

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"Vitamin B12 deficiency among adult diabetic patients in Uganda: relation to glycaemic control and haemoglobin concentration"

[1] It functions as a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist

It is a scientifically sound method to bypass the typical problems of vitamin B12 digestion and reliably supply your body