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FDA-approved tirzepatide contains no B12, appears clear to slightly yellow, and undergoes rigorous quality control that compounded versions do not

You May Have a Vitamin B Allergy Vitamin B allergies are rare, but there are a few studies on the subject

Detection and in vitro metabolism of AOD9604 Drug Test Anal, 2015, pharmacokinetics and metabolic stability PMID 41490200 Rahman OF, Lee SJ, Seeds WA

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In clinical trials, 100% of healthy volunteers experienced this chromaturia with administration of 5g hydroxocobalamin with other common effects including erythema, rash (predominantly acneiform appearance) and increased blood pressure