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Bioavailability: nearly 100%, bypasses GI absorption entirely Deficiency: first-line for pernicious anemia and malabsorption Dosing: weekly to monthly maintenance Prescription: yes, through Heally At home: yes, after provider guidance Daily tablets or lozenges
Red blood cell production
If these appear, reduce tirzepatide dose, pause 5-amino-1MQ, and increase caloric intake by 200400 kcal daily until symptoms resolve
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