Due to its influence on metabolic pathways, it may also interact with other medications youre taking or may not be suitable if you have certain medical conditions
And then B12 injection bureaucracy happened to me today
One patient (patient #11) had an increase of triglyceride levels while on tirzepatide and did not have any obvious clinical explanation for the increase
The article suggests the oral route for motivated patients with reliable meal schedules, no significant gastrointestinal motility disorder, and a preference for taking something daily rather than weekly
The Upper Arm The back of the upper arm is a third option, though it can be difficult to reach if you are self-administering the medication
The article names a vegan diet, a history of pernicious anaemia, atrophic gastritis, and previous gastrointestinal surgery as pre-existing risk factors that make monitoring more important