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Cardiovascular outcome trials for tirzepatide are ongoing, but the favorable effects on intermediate markers suggest probable long-term cardiovascular benefit

Healthcare providers draw the needed amount of bacteriostatic water to dissolve the medication before injecting it intravenously (IV), intramuscularly (IM), or subcutaneously (SC)

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However, this is less specific than elevated MMA level for vitamin B 12 deficiency, since such elevated homocysteine levels can occur even in vitamin B 6 and folate deficiency states