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Most of the vitamin B12 not circulating in the plasma is stored in the liver

A complete medical history assessing for gut inflammation, celiac disease, GERD, recent nitric oxide use in surgery, and genetic factors like MTHFR should trigger a closer look at B12 adequacy even with a normal homocysteine (HCY) plasma test

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The supplies youll need include: One new tirzepatide vial (as prescribed by your healthcare provider) One syringe and one needle (some syringes come with an attached needle) Sharps container for proper disposal Alcohol swabs Clean cotton ball or gauze Be sure to use a new syringe and a new needle for each tirzepatide injection