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Compounded tirzepatide vials carry a Beyond Use Date (BUD) of up to 120 days from compounding under USP sterile compounding standards

Provided these precautions are observed, it should be safe for use during pregnancy and lactation

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Undetected vitamin B12 deficiency due to false normal assay ...ncbi.nlm.nih.gov articles PMC3827408 by E Scarpa 2013 Cited by 25 Although measurement of vitamin B12 levels is the gold standard for the diagnosis of B12 deficiency some reports do exist concerning difficulties in its assay