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2004, Ed Masson, Barcelona Hvas AM, Juul S, Nexo E, Ellegaard J: Vitamin B-12 treatment has limited effect on health-related quality of life among individuals with elevated plasma methylmalonic acid: a randomized placebo-controlled study

Continue tirzepatide at 5mg weekly (first escalation)

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Some researchers compensate by adding an extra 0.1-0.2mL of bacteriostatic water during reconstitution, accepting a slightly lower concentration in exchange for more usable doses