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If you are starting tirzepatide for the first time and your pharmacy sends a 40 mg/mL vial, ask them to reconsider

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Converting from the research literature which often uses micrograms, this translates to 100 to 300 mcg

The key is to establish a baseline, monitor regularly to confirm the effectiveness of the treatment, and then adjust the frequency based on the individual patients clinical response and stability of B12 levels