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The difference between the two is that intramuscular injections are inserted into the muscle, and subcutaneous injections are inserted just below the skin

If you follow a vegan or vegetarian diet, it can be hard to get enough B12 as it's not naturally found in foods such as fruit, vegetables, or grains

Switching between medications If you are switching from tirzepatide to semaglutide or vice versa, the transition period creates a unique expiration management challenge

A complete B12 and nutrient assessment may also be recommended, including laboratory testing

[DOI] [PMC free article] [PubMed] [Google Scholar] 163.Lee E., Padgett B