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Injection Safety and Preventing Contamination During Use Every time you draw tirzepatide from the vial, you introduce a needle through the rubber septum, creating a potential entry point for bacteria

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Getting tested for intrinsic factor antibodies (when available) or trying high-dose sublingual B12 for 8 weeks can quickly determine if you need shots

But I hadnt heard back from them with my shipping so after I hit the date past of when to expect them to ship I emailed them

Medicare Resources: CMS has many useful publications