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Do not use tirzepatide if: You or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

doi: 10.1002/jsfa.12491 [DOI] [PubMed] [Google Scholar] 258.Chen L, Zhang YP, Jin LX

Some compounding pharmacies may adjust the B12 dosage or add an additive such as glycine based on patients needs