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Warnings for Cyanocobalamin Patients with early Leber's disease (hereditary optic nerve atrophy) who were treated with cyanocobalamin suffered severe and swift optic atrophy

That's because B12 deficiency can cause persistent weakness and fatigue

For most users, cyanocobalamin in compounded tirzepatide provides adequate B12 supplementation

Patients often report an energy change within days largely attributable to B12 where deficiency exists

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