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That shared regulatory status doesn't resolve the route question above it just means neither form has cleared the trial process required for an approved drug label

B12 shots use intramuscular injection, depositing vitamin B12 directly into muscle tissue, typically in the upper arm or thigh

Vitamin B12 Shots in Canton, MI: What You Need to Know Vitamin B12 shots are an effective way to address vitamin deficiencies and boost energy levels

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Note that tirzepatide compounded with B12 will have a pink or red color from the B12, which is normal for that specific formulation