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However, conditions affecting the gastrointestinal tractincluding pernicious anaemia, Crohn's disease, coeliac disease, or gastric surgerycan significantly impair absorption, necessitating alternative supplementation routes such as intramuscular hydroxocobalamin injections, which deliver B12 directly into the bloodstream

While most of us will get what we need from the diet we eat, B12 can be particularly difficult for those who dont or cant eat certain foods such as meat, shellfish, eggs and dairy

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If you have a vial of 10mg Tirzepatide, you will notice it comes in a lyophilized, or freeze-dried, powder form