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Hyperpigmentation inside the mouth due to low B12 levels may appear as bluish or dark discoloration

This compound is not intended to diagnose, treat, cure, or prevent any disease or medical condition

Patients often consider MOTS-c when dealing with low energy, reduced metabolic flexibility, or difficulty maintaining body composition

Regarding the form of vitamin B12 used, cyanocobalamin was the most common (n = 14), followed by methylcobalamin (n = 6), hydroxocobalamin (n = 4), and combinations including adenosylcobalamin in isolated cases

Comparing cyanocobalamin and methylcobalamin in tirzepatide formulations Cyanocobalamin dominates compounded tirzepatide formulations, but methylcobalamin appears in some preparations

Similar to the clinical data, all three GLP-1 analogs tended to reduce skeletal muscle mass