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[1] [6] Currently, there is no established direct link between tirzepatide use and vitamin B12 deficiency based on available clinical trial data and FDA labeling information

10.3390/biomedicines9101300 22 GojkovicS.KrezicI.VrdoljakB.MalekinusicD.BarisicI.PetrovicA.et al (2020)

Without adequate B12, the body produces fewer red blood cells and those that are produced may be abnormally large (megaloblastic)leading to anaemia and reduced oxygen delivery to tissues

4.2 Detailed expandable studies Study 1: Maquart 1988, fundamental collagen study Citation: Maquart F.X., Pickart L., Laurent M., Gillery P., Monboisse J.C., Borel J.P

That "days 45" figure is the closest thing to an onset signal in the literature, and it is repeatedly miscast online as a human timeline

A typical vitamin B complex injection is a sterile solution containing several key B vitamins