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Injecting B12 on top of an undiagnosed cause masks the underlying deficiency picture and can delay diagnosis of pernicious anaemia

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Symptoms include nausea, increased intracranial pressure, coma, and even death (20)

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Comparing cyanocobalamin and methylcobalamin in tirzepatide formulations Cyanocobalamin dominates compounded tirzepatide formulations, but methylcobalamin appears in some preparations

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