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Some people develop an autoimmune condition called pernicious anemia, which prevents the body from making a protein essential for absorbing vitamin B12

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Every patient receives individualized medical assessment, customized treatment protocols, integration with your overall healthcare, safety monitoring by a licensed physician, access to diagnostic testing when appropriate, and the ability to address complications or concerns immediately

TIER PLANS TIER 0 (20mg total) $279 total for 10 week supply Monthly cost breakdown: $111 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $319 total for 8-10 week supply Monthly cost breakdown: $127-$160 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $339 total for 8-10 week supply Monthly cost breakdown: $135-$169 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (80mg total) $429 total for 8-10 week supply Monthly cost breakdown: $171-$214 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $579 total for 8-10 week supply Monthly cost breakdown: $231-$289 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 $235 total for one month supply Recommended for doses up to 7.5mg/week Monthly Advanced Dose $250 total for one month supply Recommended for doses of 7.5-10mg/week Monthly Advanced Plus Dose $295 total for one month supply Recommended for doses of 11mg/week and up OptioRX Pharmacy - Tirzepatide/Niacinamide Injection Up to 90 days BUD

Neurological Issues: Since vitamin B12 is essential for brain health and function, a deficiency may result in mental dullness, sometimes referred to as cognitive dysfunction, and in severe cases, a dog can have seizures