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The potential for dangerous interactions between tirzepatide compounded with other additives remains unknown Our discovery of this new impurity created when tirzepatide is compounded with B12 highlights the risks to patients of haphazardly mixing untested additives with complex molecules like tirzepatide without rigorous testing, clinical trials and FDA approval
Infections and acute illnesses , including viral gastroenteritis, food poisoning, or antibiotic-associated diarrhoea, may coincidentally occur when someone has recently started B12 supplementation
For borderline results, additional testing with holotranscobalamin or methylmalonic acid/homocysteine levels may be appropriate
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