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Concentrations decline significantly with age, making peptide therapy an evidence-based intervention for skin rejuvenation

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Sep 18 2014;5(4):504-511

Tirzepatide/B12 is a compounded injectable that pairs tirzepatide, a dual GIP and GLP-1 receptor agonist, with cyanocobalamin (vitamin B12)

a patients were taught to self inject b we could buy injectable B12 OTC This paper from 1983 focuses on pernicious anaemia rather than the many other causes of B12 deficiency, much like today, patients who do not have a definitive diagnosis of PA are considered to be in need of less treatment (or none at all) despite the severity of symptoms being exactly the same