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Other common side effects of B12 injections include: Diarrhea Headache Swelling (and not only at the site of the injection) If you experience any uncommon side effects, such as chest pain or hives, contact your health care provider immediately

To learn more about the benefits, risks, & differences of compounded medication substitutes you may visit the FDA Drug Shortage List & FDA Compounding Substitutions Information Page

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Any medication adjustments, including changes to the tirzepatide dose or titration schedule, should be made under healthcare provider guidance based on overall tolerability and treatment goals
