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Side effects are typically mild and often related to the injection process

A 54-year-old man presents for evaluation because his older brother recently received a diagnosis of cirrhosis secondary to hemochromatosis

B12 itself is generally safe, but the side effects often come from the semaglutide

Why Your Arm Beats Your Butt Deltoid injections (in your upper arm) consistently give 25% higher peak levels compared to butt shots

TIER PLANS TIER 0 (20mg total) $295 total for 10 week supply Monthly cost breakdown: $118 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $350 total for 8-10 week supply Monthly cost breakdown: $140-$175 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $395 total for 8-10 week supply Monthly cost breakdown: $158-$197 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (80mg total) $495 total for 8-10 week supply Monthly cost breakdown: $198-$247 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $645 total for 8-10 week supply Monthly cost breakdown: $258-$322 based on weekly dose Recommended for those on 11mg/week and up MONTHLY PLANS Monthly Starter Dose $175 total for one month supply Recommended if new to treatment or for those on doses of 2.5mg/week or less Monthly Mid Dose $245 total for one month supply Recommended for doses up to 7.5mg/week Monthly Advanced Dose $275 total for one month supply Recommended for doses of 7.5-10mg/week Monthly Advanced Plus Dose $335 total for one month supply Recommended for doses of 11mg/week and up OptioRX Pharmacy - Tirzepatide/Niacinamide Injection Up to 90 days BUD

She reports that her ascites has improved only partially with diuretics that her primary care doctor prescribed 3 months ago