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Bone marrow biopsy showed a hypercellular bone marrow with flow cytometry showing an abnormal plasma cell population (1520% plasma cells by immunohistochemistry), consistent with POEMS syndrome

Patients with low-normal or borderline B12 (200400 pg/mL) may experience quicker symptom relief and fewer adverse effects than those with truly deficient levels, who may require supplemental or prescription-grade B12 dosing instead

B12 injections often work faster than pills

For a couple days strong spasms in my back (left) and pectoral (left)

However, they do displace liquid, meaning you are injecting less tirzepatide than the syringe markings suggest

To be clear up front: Koi Peptides sells research-grade, sterile lyophilized GHK-Cu powder for in vitro laboratory study only