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It is not a primary hair peptide but may help as part of a broader treatment plan

Cyanocobalamin is not a suitable form of vitamin B12 for the treatment of optic neuropathies associated with raised plasma concentrations of cyanocobalamin

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The FDA and clinical pharmacology literature offer no evidence supporting the combination, and no major obesity medicine societies recommend dual phentermine-tirzepatide therapy

However, because B12 is stored in our livers, it might take a while for these deficiencies to show (Glass, 1959)