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Is it safe to combine CJC-1295/Ipamorelin with other peptides

Routine B12 monitoring is not mandated for tirzepatide, but baseline and periodic testing should be considered for high-risk patients, including those over 65, on concurrent metformin, with gastrointestinal disorders, or experiencing symptoms such as fatigue, neuropathy, or cognitive changes

doi: 10.1126/scisignal.2002700

Occasionally it is also prescribed for types of cancer well so its advisable to review this information along with our general details, on chemotherapy and the specific type of cancer you are dealing with