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They have a vague sense of being unwell, and that is all they know
B12 supplements should be avoided by those with known cobalt sensitivity and used with caution in people with Leber's hereditary optic neuropathy
Pure tirzepatide solutions without B12 appear clear or slightly opalescent
For serious hair loss concerns, AHK-CU is the better primary choice, potentially combined with GHK-CU for scalp health
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
Doctors need to think about these differences when planning treatment
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