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Practitioners are responsible for subject screening, dosing, informed consent and clinical record-keeping

Compounded tirzepatide is more affordable, but still represents a meaningful investment

Therefore, when older patients present with unsteadiness or dizziness, careful neurological examination and early consideration of vitamin B12 deficiency or SCD are essential to ensure appropriate and timely management

Occasionally, patients may notice mild diarrhea, itching, or a brief sensation of warmth after the injection

We are also grateful to PharmaNutra S.p.A, Pisa, Italy, for providing the Sucrosomial B12 used in this study