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In the SURPASS-5 and SURPASS-6 trials, the combination of tirzepatide with insulin glargine or insulin lispro significantly improved HbA1c levels while reducing both hyperglycemic and hypoglycemic events

The treatment with high dose B12 injections is not only completely safe but fortunately also very effective

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This timeline assumes consistent refrigeration, minimal light exposure, and sterile technique when drawing doses

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