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Compounding pharmacies have begun creating formulations that combine tirzepatide with vitamin B12 (cyanocobalamin or methylcobalamin), though these are not FDA-approved combinations
Nasal sprays enable fast absorption but inconsistent dosing
Protocol duration Nasal spray protocols typically follow similar durations to injectable protocols
The theoretical concern about angiogenesis-driven tumor promotion persists despite absence of evidence specifically because the question has not been adequately studied in humans over meaningful timeframes
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