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This guide is for compounded tirzepatide , which comes as lyophilized (freeze-dried) powder and must be mixed with bacteriostatic water before use

Once the expiration date passes, tirzepatide loses potency regardless of storage conditions, and using it may deliver an inadequate dose to your system

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If IV vitamin support or IV drips are appropriate, your provider can discuss options and referrals

That includes clams, which may be one of the best B12 sources, period