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Compounded tirzepatide glycine should be refrigerated at 36-46 degrees Fahrenheit (2-8 degrees Celsius) from the moment it arrives

As you can imagine your nervous system relies on having adequate B12 to function correctly

Brief exposure during transport (up to 2 hours unrefrigerated) is generally acceptable, but repeated temperature cycling degrades stability and should be avoided

57 Some patients may require a more frequent injection regimen, especially those with neurological symptoms, varying from twice weekly to every 2-4 weeks to become and remain asymptomatic

To determine if you have a B12 deficiency, Medicare vitamin B12 lab coverage may allow you to have your vitamin levels tested