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No, tirzepatide + vitamin B12 is a compounded version, not approved by the FDA or reviewed for its quality, safety, and effectiveness

Left untreated, too little vitamin B12 can ultimately lead to nerve damage, ataxia (difficulty with walking and balance), pernicious anemia, heart failure, and even gastric cancer, Swenor says

28 Wapnir RA

B12 is water-soluble and excess is excreted in urine