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Wipe the top of both the tirzepatide vial and the bacteriostatic water vial with alcohol swabs

Double-Check Your Math: Simple ratios make it easy to avoid dosage errors

This dead space typically ranges from 0.5 to 2 units depending on the syringe brand and needle type

Special populations, such as post-bariatric surgery patients and those on metformin, may require tailored dosing regimens to ensure adequate vitamin B12 levels

22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity