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These include Actual physical nerve damage as the result of surgery or injury Having an overactive immune system (seen in conditions such as lupus, rheumatoid arthritis and celiac disease) Excessive long-term alcohol consumption Certain types of cancers B12 deficiency No matter which condition has led you to searching for treatment for peripheral neuropathy, B12 injections can help protect the nerves

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Compounding pharmacies have begun creating formulations that combine tirzepatide with vitamin B12 (cyanocobalamin or methylcobalamin), though these are not FDA-approved combinations