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This direct route makes it incredibly effective, especially for anyone who struggles with absorbing B12 through their gut, such as those with pernicious anemia

But if you are gaining weight on tirzepatide and drinking regularly, alcohol reduction is one of the highest-impact changes you can make

Start with 0.5 percent and increase to 1 or 2 percent if tolerance is good and results warrant intensification

Common side effects that you may experience include tenderness at the injection site, upset stomach and lethargy

For those with normal absorption and adequate B12 stores, injections provide no unique metabolic advantage

Step 3: Enter the bacteriostatic water you are adding Enter the volume of bacteriostatic water in milliliters