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The tirzepatide food guide covers optimal dietary strategies

The full breakdown of evidence and protocols is in the 5-Amino-1MQ complete guide

Cattle/Horse : 5.0-25.0 ml/day single dose or to be repeated daily if required

Bottom line Existing evidence comparing oral with IM vitamin B12 is suboptimal

Shoulder function can be significantly disrupted by compression of the brachial plexus

Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed