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High-dose oral B12 (1,000 to 2,000 mcg daily) can actually correct deficiency even in some people with poor absorption, because a small percentage of B12 is absorbed passively (without intrinsic factor)

(2002) Efficacy of methylcobalamin on lowering total homocysteine plasma concentrations in haemodialysis patients receiving high-dose folic acid supplementation

Step 3: Add water to the tirzepatide vial slowly

Potential Side Effects and Safety Considerations When considering B12 injections alongside Mounjaro, it is important to understand the side effect profile of each treatment independently, as well as practical safety considerations