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If you are switching from tirzepatide to retatrutide , allow an appropriate washout period and start retatrutide at the beginning of its titration schedule rather than jumping to a dose equivalent to your tirzepatide dose
Hence, why Im even considering 2nd shot of Pfizer unless its absurd because neuro symptoms remain

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The practical conclusion: for most people with mild low B12 or dietary gaps, daily methylcobalamin in a quality multivitamin is a better long-term strategy than chasing energy shots

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