B12 injections go straight into your muscle and bloodstream, so your body takes up most of the dose, while oral B12 has to pass through your digestive system first, where only a small fraction of a tablet gets absorbed
Some studies have shown that, if people with Down syndrome take the inactive oral forms of vitamin B12 and folate, their bodies may have difficulty converting from the inactive to the active form and the inactive form may not be as effective
Patients on those medications should only receive B-Complex injections with close monitoring (and dosage adjustments of the anticonvulsant if needed)
Compounded semaglutide and tirzepatide are not the same as Wegovy, Ozempic, Zepbound, or Mounjaro
Tesamorelin a GHRH analogue raising endogenous growth hormone, the whole-hormone comparator