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Currently (as of November 2025), the drug is not available on the NHS in Northern Ireland, but this is expected to change in 2026

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Micronutrient management: With a reduced food intake, youre likelier to have some micronutrient deficiencies

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For deficiency due to malabsorption or pernicious anaemia, intramuscular hydroxocobalamin injections are the first-line treatment in the UK, following standard NHS protocols

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Compounded tirzepatide may contain additional ingredients like glycine , niacinamide , methylcobalamin , or levocarnitine that could independently affect lab values

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If youve had unprotected sex during the gap, ask about emergency contraception as soon as possible if you want to prevent pregnancy.

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