b12 injections instructions at Home - Safety Guide for Self-Administration Treating Severe Vitamin B12 Deficiency

These medications reduce gastric acid production, which is necessary for releasing dietary vitamin B12 from food proteins and for maintaining the stability of the B12-intrinsic factor complex

Storage: Refrigerate the troches at a cool temperature (36 to 46F) to preserve them for several weeks without degradation

The specific amount of weight you might lose from Zepbound is uncertain, but significant weight loss ranging from 35.5 lb (16.1 kg) to 52.0 lb (23.6 kg) was observed in the 72-week SURMOUNT-1 clinical trial, which compared different Zepbound (tirzepatide) doses to a placebo (inactive treatment)

doi:10.1021/jf990541b