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Never combine Retatrutide with other GLP-1 or GIP agonists like semaglutide, tirzepatide, liraglutide, or dulaglutide due to overlapping mechanisms and severe side effect risk

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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

If you have difficulty absorbing vitamin B12 through your digestive system due to pernicious anemia or gastrointestinal disorders, B12 shots may be the better option

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