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Compounded versions may include additional ingredients: Semaglutide + B12: Combines semaglutide with cyanocobalamin (vitamin B12), often marketed as "semaglutide with B12" or "semaglutide/B12 blend" Tirzepatide + B12: Same concept for tirzepatide Bacteriostatic water vs sterile water: Affects shelf life after reconstitution (28 days vs 7 days) The additional ingredients do not change the core mechanism but may affect tolerability or convenience