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But not instantly it takes some time to build back up the B12 that was missing

Compounding pharmacies have begun creating formulations that combine tirzepatide with vitamin B12 (cyanocobalamin or methylcobalamin), though these are not FDA-approved combinations

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The reconstitution process for 10mg retatrutide follows the same principles, though the dosing schedule differs

[1] People who regularly take medications that suppress stomach acid for conditions like gastroesophageal reflux disease (GERD) or peptic ulcer diseasesuch as proton-pump inhibitors, H2 blockers, or other antacidsmay have difficulty absorbing vitamin B12 from food