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The goal of maintenance therapy is to sustain normal Vitamin B12 levels, as clinical guidelines say

Use within 30 days for optimal stability

The potential for unknown substances also introduces risks that cannot be predicted, unlike the known contraindications (like active cancer) of legitimate sermorelin

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Compounded tirzepatide with B12 for weight loss is a clinically grounded treatment that works best when paired with realistic expectations, provider guidance, and a willingness to give your body time to adjust