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Listen: Watch: The biggest challenge may not be access, it's expectation management

No, tirzepatide + vitamin B12 is a compounded version, not approved by the FDA or reviewed for its quality, safety, and effectiveness

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Left untreated, too little vitamin B12 can ultimately lead to nerve damage, ataxia (difficulty with walking and balance), pernicious anemia, heart failure, and even gastric cancer, Swenor says

Our patients from Oklahoma City, Yukon, Edmond, and surrounding areas often tell me they wish they'd found this option sooner