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The dose landing in fat instead of muscle B12 is given as an intramuscular injection for a reason: muscle has the blood supply to absorb it steadily

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Some mild soreness, redness, or a small bump at the injection site may occur and usually subsides within 2448 hours

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If you were on 2.4mg semaglutide, most providers start at 5mg or 7.5mg tirzepatide rather than the standard 2.5mg starting dose