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The shot does contain a boxed warning, as do more than 400 other medications, but that is primarily related to adults and vitamin K that is given through an IV, not as a shot in the thigh muscle, which is how doctors typically administer vitamin K to babies

The injections are prescribed by a doctor as hydroxocobalamin and given intramuscularly in to the deltoid muscle at the top of the arm

Starting the oral compound a few weeks into Retatrutide therapy ensures appetite is already suppressed and nutrition is dialed in before adding hepatic burden