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Most practitioners check B12 levels at 3-6 months after initiating tirzepatide and then every 6-12 months during maintenance

No needles, no alcohol swabs, no pinching a fold of skin and bracing yourself

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You will receive quarterly refills (once every 3 months) for your Rapamycin prescription, as long as you continue to do your required blood tests and electronic check-ins

The same caution applies to combining it with any other GLP-1 or incretin agent: doing so compounds the class effects and the class risks, and there is no documented protocol for it