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Limitation: small sample (n=7), combination protocol

[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking

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BPC-157 remains on the 2025 Prohibited List

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We appreciate the recommendation and may take this comment into consideration in future rulemaking