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Sergey Terushkin, MD, FACS Starting dose: 2.5 mg weekly Dose escalation: every 4 weeks Maintenance dose: 515 mg Maximum dose: 15 mg Starting dose: 0.25 mg weekly Dose escalation: every 4 weeks Maintenance dose: 12.4 mg Maximum dose: 2.4 mg Learn More About: Tirzepatide Before and After Results: Weight Loss Timelines (2026) Compounded medications are prepared by licensed pharmacies and may be prescribed when appropriate

Third-party testing confirming peptide identity and purity provides assurance that the product contains what it claims

For those with a temporary deficiency or improved dietary intake, our providers may recommend switching to oral supplements or eventually discontinuing injections altogetheralways under careful medical supervision

Final authority remains with the FDA

The push rate also influences the potential for tissue damage, so its good to take your time (a count of five) when pushing the plunger of your syringe to deliver your vitamin B12