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Long-term Management Considerations If you need B12 shots for a long time, keeping an eye on your levels and adjusting your plan is important
This means that there is less ability in the cells of people with Down syndrome to perform the chemical reaction (methylation)
Compounding pharmacies have begun creating formulations that combine tirzepatide with vitamin B12 (cyanocobalamin or methylcobalamin), though these are not FDA-approved combinations
Avoid coffee or acidic foods within 30 minutes if possible
There are some people who will benefit from B12 injections even more than others
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