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Formulations without preservatives must be used more quickly, often within days rather than weeks, because each puncture introduces potential contamination with no chemical defense against bacterial growth

[1] Some compounders suggest adding B12 to tirzepatide formulations based on theoretical concerns about vitamin B12 absorption, though it's important to note that clinical evidence specifically linking tirzepatide to B12 deficiency is lacking

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Drug Interactions: Semaglutide may interact with other medications, potentially affecting their effectiveness or increasing side effects

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