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These higher doses are not yet approved for clinical use

You may need to have your B12 levels checked by your doctor or take a supplement if you develop symptoms like extreme tiredness or a sore tongue

Gently swirl the vial in a circular motion

Many patients restart or switch therapies after discontinuation The study included 7,938 patients who had started injectable semaglutide or tirzepatide

Most patients notice appetite reduction within the first few weeks as the dose ramps up, with eating patterns shifting more noticeably over the second and third months

Do not use saline solution unless specifically directed by a protocol