TIER 0 (20mg total) $205 total for 10 week supply Monthly cost breakdown: $82 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $240 total for 8-10 week supply Monthly cost breakdown: $96-$120 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $270 total for 8-10 week supply Monthly cost breakdown: $108-$135 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (80mg total) $300 total for 8-10 week supply Monthly cost breakdown: $120-$150 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $325 total for 8-10 week supply Monthly cost breakdown: $130-$162 based on weekly dose Recommended for those on 11mg/week and up MONTHLY PLANS Monthly Starter Dose $149 total for one month supply Recommended if new to treatment or for those on doses of 2.5mg/week or less Monthly Mid Dose $169 total for one month supply Recommended for doses up to 7.5mg/week Monthly Advanced Dose $189 total for one month supply Recommended for doses of 7.5-10mg/week Monthly Advanced Plus Dose $199 total for one month supply Recommended for doses of 11mg/week and up Vios Pharmacy - Tirzepatide/Levocarnitine Injection (NEW) Up to 90 days BUD

Are there side effects from B12 injections
Per ADA 2026 Standards of Care, treatment is individualized based on A1C targets, comorbidities (CVD, CKD, heart failure), hypoglycemia risk, weight effects, cost, and patient preference
Hydroxocobalamin B12: The "Storage" Form: Shown to be stored and stay in the bloodstream longer and be universally distributed through the body to ensure long lasting B12 levels
By suppressing prostaglandin synthesis, NSAIDs compromise this protective barrier, making the stomach lining vulnerable to erosion and ulceration