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Yes, tirzepatide should be discontinued when pregnancy is recognized or before planned conception

Rather than injecting the regular introductory weekly dose, people are only taking half that amount or less

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[58] Medical uses [edit] Treatment of deficiency [edit] Severe vitamin B 12 deficiency is initially corrected with daily intramuscular injections of 1000 g of the vitamin, followed by maintenance via monthly injections of the same amount or daily oral dosing of 1000 g