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Because the Red Rock Pharmacy is good for low doses and UCP is good for higher doses, one popular choice for California residents is to get one Tirzepatide/B12, 5mg-100 mcg/mL 1 ml vial from Red Rock Pharmacy and take 1 mg (0.2 ml) weekly for 3 weeks, 2 mg (0.4 mL) for 1 week, followed by one Tirzepatide/B12, 8.5 mg-100 mcg/mL 1 ml vial, and take 2 mg (0.24 ml) weekly for 3 weeks and 2.5 mg weekly the next week

It also methylates splicing factors to facilitate precise alternative splicing [79]

For patients whose prior B12 supplementation hasn't worked, injection is the solution not a higher oral dose