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Quick comparison of B12 forms used in tirzepatide compounds Cyanocobalamin - Most stable in solution, requires body conversion, contains trace cyanide group, produces pink color, lowest cost for pharmacies Methylcobalamin - Bioactive form, light-sensitive and less stable, no conversion needed, produces pink color, slightly higher cost Hydroxocobalamin - Precursor form, moderate stability, used less commonly in compounds, produces pink/red color, intermediate cost All three forms produce the same characteristic pink color in the tirzepatide solution

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Meta-analyses were performed using random-effects models