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Here is the standard Zepbound titration schedule: Weeks 1-4: 2.5 mg (starting dose – not for weight loss, just adjustment) Weeks 5-8: 5 mg (first therapeutic dose) Weeks 9-12: 7.5 mg (optional intermediate step) Weeks 13-16: 10 mg Weeks 17-20: 12.5 mg (optional intermediate step) Week 21+: 15 mg (maximum dose) The 7.5 mg and 12.5 mg doses are intermediate steps

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But I've never seen B12 ampoules available in the kind of smaller doses that would be needed to try this