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When a person exercises, the heart pumps faster to provide oxygen to the muscles, and vigorous/strenuous exercise, especially, can sometimes trigger heart palpitations, which is a good reason to get a doctors approval before starting an exercise program

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Patients using compounded tirzepatide with B12 should monitor closely for signs of infection at injection sites, including increasing redness, warmth, swelling, pain, or purulent drainage, which may indicate contaminated product

Therefore, we suggest that our case report may contribute to the formation of standardised desensitisation protocol in vitamin B12 allergy

Bacteriostatic Water 2 mL BAC water per vial