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- **Retatrutide vial** (lyophilized powder -- usually a white cake or powder at the bottom) - **Bacteriostatic water (BAC water)** -- NOT sterile water unless using single-dose - **3ml syringe with needle** for drawing BAC water - **Insulin syringes** (29-31 gauge, 1/2 inch) for injections - **Alcohol swabs** (70% isopropyl) - **Clean, flat work surface** with good lighting - **Sharps container** for needle disposal ### Know Your Vial Compounded retatrutide commonly comes in these sizes: - **30mg** -- Good for patients on lower doses (1-4mg)

Oral B12 Supplementation Injectable Vitamin B12 has big advantages over taking it by mouth

In the STEP-4 randomized trial (Rubino and colleagues, JAMA, 2021), the 803 adults who switched to placebo at week 20 regained about 6.9 percent of body weight over the next 48 weeks, while those who continued semaglutide kept losing

Can I switch forms if my labs improve but symptoms persist