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For people with gut disorders and older adults (over 50 years) who dont get enough vitamin B12 in their diet, hydroxocobalamin is given as twice yearly injections (every 6 months)

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At this point, there are usually no noticeable symptoms, making a blood test the only reliable way to detect this deficiency early

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The formulation differs fundamentally from Mounjaro or Zepbound, the FDA-approved brand versions

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