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As of early 2026: 503A pharmacies cannot legally compound tirzepatide except for patients with documented medical necessity not met by branded products

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For active B12 deficiency, most clinicians recommend weekly or biweekly shots for the first 4 to 6 weeks, then a maintenance shot every 1 to 3 months

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Within the overall category of GLP-1s, you have multiple options, including semaglutide, with the brand names Wegovy and Ozempic, and tirzepatide, with the brand names Mounjaro and Zepbound