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It was FDA-approved for pediatric growth hormone deficiency in the 1990s and has been used off-label for adult GH optimization for decades

So I think I'd probably still somehow let them know and it's not quite subtle

ACS ES&T Engineering

Dual agonists like tirzepatide generally produce faster and greater weight loss compared to GLP-1only medications

VEDCO - 11/10/98.1 VITAMIN B-12 5000MCG INJECTION Active Ingredients: Each mL OF sterile aqueous solution contains: Cyanocobalamin (B12) 5,000 mcg Sodium chloride 0.22% w/v Ammonium sulfate 00.1% w/v Citric acid 0.01% w/v Sodium citrate 0.008% w/v Benzyl alcohol (preservative) 1.0% v/v Indications: For use as an aid in the management of vitamin B12 deficiencies in horses, dogs and cats