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B-PLEX 100, VITAMIN B-COMPLEX 100 INJ, MDV, 100MG, 30ML SHIP IN ICE NDC 6745714630 NON-RETURNABLE SKU 028298677000 NDC 6745-7146-30 Manufacturer Number 6745714630 30mL Multiple Dose Vial Storage Requirements Requires Refrigeration NON-RETURNABLE Strength 100 mg 2 mg / mL Type Intramuscular or Intravenous Each mL Contains: 100 mg Thiamine HCl 2 mg Riboflavin-5-PO4 Na 2 mg Pyridoxine HCl 2 mg Dexapanthenol 100 mg Niacinamide 2% Benzyl Alcohol preservative Latex Free Storage Temperature: 2 to 8C (36 to 46F) Thimerosal Free ** NON-RETURNABLE **

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When patients use both treatments concurrently, several precautions are warranted : Injection site management : Rotate sites systematically and avoid administering both injections in the same anatomical area on the same day Gastrointestinal monitoring : Tirzepatide's GI effects may be misattributed to lipotropic injections, potentially leading to inappropriate dose adjustments Hydration emphasis : Ensure adequate fluid intake given tirzepatide's potential to cause dehydration through GI effects Medication adjustments : Consider reducing doses of insulin or sulfonylureas when initiating tirzepatide to mitigate hypoglycemia risk Realistic expectations : Counsel patients that weight loss benefits derive primarily from tirzepatide's pharmacological action Cost considerations : Lipotropic injections represent additional out-of-pocket expense without proven incremental benefit Patients should seek immediate medical attention for severe or persistent abdominal pain (possible pancreatitis), right upper quadrant pain with fever or jaundice (gallbladder disease), signs of allergic reaction, persistent vomiting leading to dehydration, or symptomatic hypoglycemia if on insulin/sulfonylureas

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