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National Institute for Health and Clinical Excellence (NICE)

Always follow the specific instructions provided by your [compounding pharmacy](/oem) and prescribing clinician.* --- ## References - [Mounjaro (tirzepatide) Prescribing Information]( *Eli Lilly and Company*, 2024

While we only send prescriptions to vetted and accredited compounding pharmacies, the medications they provide are not FDA approved or regulated

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Published evidence indicates that B12 deficiency can make HbA1c unreliable, but the direction of the distortion whether the result is spuriously high or spuriously low is variable and may depend on the degree of anaemia, the specific HbA1c assay used, and other concurrent conditions