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Tirzepatide is not recommended for people with a family history of thyroid tumors or a family history of medullary thyroid carcinoma (MTC) and MEN2 syndrome (multiple endocrine neoplasia type 2 syndrome), as tirzepatide increases the potential risk of developing these tumors in rodents

In these cases, B12 injections provide a direct and effective method to restore healthy vitamin levels

Shed been on hydroxocobalamin for some years now because of chronic fatigue but since the brand she was taking became unavailable and she had to switch to Neo B12 they were giving her migraines and somehow their effectiveness was also not as desired