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Dr Thornber advised: Vitamin B12 should be used with caution if you have any of the following conditions - heart concerns, high blood pressure, history of cancer, skin disorders, genitourinary concerns, gastrointestinal concerns, blood disorders, low serum levels of potassium, and history of gout. He added: If youre eating a balanced and healthy diet you should get enough B12 from your food including, meat, fish, dairy products, and eggs

Shaking can cause foaming and degrade the delicate peptide chains

The actual benefit is narrower and more honest: correcting an existing deficiency can restore energy levels and general well being, which indirectly supports a healthy weight through better activity and mood, not through a direct metabolic effect

The B12 has degraded, and the tirzepatide peptide may have been affected as well

The amount of bacteriostatic water you add determines the concentration of your reconstituted solution, which directly affects how many units you draw per dose