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The strongest rationale for the oral route is local action in the digestive tract itself

Below are some of the top sites for B12 injections: Vastus Lateralis (Outer Thigh): Ideal for Self-Administration The vastus lateralis, located on the outer part of the thigh, is one of the most commonly recommended sites for self-administered Vitamin B12 injections

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This naturally occurring compound plays a pivotal role in transporting fatty acids into the mitochondria, the powerhouse of cells, where they are converted into energy

They also may want to do an electrocardiogram (EKG) if they think you may have arrhythmia

Tirzepatide addresses those signals directly