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Vitamin B12 is a water-soluble vitamin, and this is one reason why higher vitamin B12 levels are not known to be toxic

Tirzepatide is administered as a once-weekly subcutaneous injection, with doses ranging from 2.5 mg to 15 mg depending on the indication and individual patient response

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Coverage decisions must rely solely on medical necessity consistent with clinical guidelines established by multiple medical societies, including WPATH, the Endocrine Society, the American Academy of Pediatrics, and the American Psychological Association