Chronic treatment should be with an oral B 12 preparation
These tirzepatide with B12 formulations and tirzepatide glycine B12 compounds generally follow the same BUD as standard compounded tirzepatide, since the additional ingredients do not significantly alter the primary storage requirements
If you are injecting into your thigh muscle , then a 25 gauge x1 inch needle should be OK .Obtainable from Medisave.co.uk It is possible to get a 27 gauge needle from exchangesupplies.org , but it is longer -1 1/2
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However, if it's nearly time for your next dose, skip the missed one and continue with your regular schedule