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In clinical trials, dulaglutide produced a 2.33.0 kg body weight loss and a 0.781.64% (8.618.0 mmol/mol) reduction in HbA 1c , relative to baseline [33]

The B12 in your compounded formulation should keep serum B12 levels adequate in most cases, but "most cases" is not "all cases." Verify with bloodwork rather than assuming