Its available under the brand names Adipex-P and Lomaira, and its also combined with the anticonvulsant topiramate in a brand-name drug called Qsymia
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Journal of Holistic Nursing, 39(2), 126134
However, some potential considerations include mild injection site pain (B12 injections can sting slightly, though this is masked by the tirzepatide in the compound), rare allergic reactions in individuals with cobalt sensitivity, and the theoretical concern about cyanide accumulation in people with severe kidney disease who cannot efficiently excrete the trace cyanide released during cyanocobalamin metabolism