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Despite this, cyanocobalamin has been increasingly criticised in recent years, due to the following reasons: Toxicity: cyanocobalamin is often claimed to be toxic, as the ‘cyano’ group form the poison cyanide

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Why compounding pharmacies add vitamin B12 to tirzepatide formulations The addition of B12 to compounded tirzepatide addresses two primary concerns: nausea management and potential vitamin deficiency during treatment