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its a controlled, repeatable process
This dual mechanism is why clinical trials show tirzepatide producing greater average weight loss than semaglutide
Loading phase (deficiency): 1000 mcg IM or subQ daily or every other day for 1 to 2 weeks Maintenance: 1000 mcg monthly is a standard maintenance dose for conditions like pernicious anemia Wellness protocols: may use lower doses weekly, though this is less established clinically In ml: cyanocobalamin is typically supplied at 1000 mcg/ml, so a 1000 mcg dose equals 1 ml
Muscle tone becomes harder to maintain
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