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Likewise, their intake of Folic Acid (vitamin B9)

Use In Driving And Operating Machinery Is it safe to operate heavy machinery or drive when using Neurobion Forte RF Injection

Warnings and Precautions 5.1 Risk of Thyroid C-Cell Tumors In both sexes of rats, tirzepatide caused a dose-dependent and treatment-duration-dependent increase in the incidence of thyroid C-cell tumors (adenomas and carcinomas) in a 2-year study at clinically relevant plasma exposures [see Nonclinical Toxicology (13.1)]

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Your sinus pressure and dizziness could be from the elevated blood pressure as mine was (but that is a guess)