Once a vial has been pierced, mark the date of first puncture and discard 28 days later in line with standard multiple-dose vial practice, and never use beyond the printed expiry even if the 28 days have not elapsed
[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking
I have been seeing results with diet and exercise
People who eat animal products can still obtain B12 through their diet but it is harder for vegetarians and vegans
It targets fat metabolism through specific mechanisms that don't affect blood sugar, don't cause insulin resistance, and don't mess with your growth hormone levels
However, it is essential to distinguish between the known biological roles of each ingredient and the unproven claim that injecting them together produces clinically meaningful fat loss