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Note that the FDA has approved many peptide drugs over the years more generally including insulin

Each 1 ml ampoule contains: Vitamin B12 (Cyanocobalamin) 1000 mcg Recommended Dosage: For treatment of anemia, intramuscular injection 1-2 times a week, 5 times a week for the first week, 250 mcg each time once a week

These types of injections are used to manage or help a variety of health issues

In clinical trials, patients taking the highest dose of Zepbound lost an average of 48 pounds (2)