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The expiration date on the bottle is assigned by the manufacturer and is what you should follow if the bottle has not been opened

This product is provided in its raw form for use by qualified professionals conducting analytical, educational, or laboratory research

Summary: Vitamin B12 injections after gastric banding are indicated when oral supplementation fails to correct a documented deficiency, neurological symptoms are present, or the patient cannot adhere to daily oral regimens

A rare but significant concern is medullary thyroid carcinoma, as well as multiple endocrine neoplasia syndrome type 2 (MEN 2), and any family history of these conditions should be discussed prior to treatment with Zepbound

Consider the standard tirzepatide dose progression