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Compounded peptides are sometimes offered when branded medications are expensive or in short supply, but the FDA has warned that compounded semaglutide and tirzepatide may not meet the same safety or quality standards as FDA-approved products (FDA statement on compounded semaglutide)

For example, too much vitamin B6 may cause severe skin lesions, along with other symptoms like numbness, digestive issues, and poor muscle control, according to Mayo Clinic

Policy Vitamin B12 deficiency, sometimes called cobalamin deficiency, happens when your body is either not getting enough or not absorbing enough vitamin B12 from the foods you eat

They would find the TIP peptide directly counteracts those negative changes