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Low B12 levels may be a contributing factor, which is why B12 shots are offered to help support energy, focus, and overall well-being

In patients who are already on dual antiplatelet therapy post-stent or who have bleeding disorders, additive antiplatelet effects could increase hemorrhagic risk

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Compounded peptides are sometimes offered when branded medications are expensive or in short supply, but the FDA has warned that compounded semaglutide and tirzepatide may not meet the same safety or quality standards as FDA-approved products (FDA statement on compounded semaglutide)