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The charts below compare different frequency protocols and their typical outcomes

Specific situations requiring medical review include: Severe or persistent gastrointestinal side effects from Mounjaro that significantly limit your food intake for more than a few days You are taking metformin in addition to Mounjaro, as this combination increases B12 deficiency risk You have a history of pernicious anaemia, gastric surgery, or conditions affecting nutrient absorption You are considering stopping B12 injections whilst taking Mounjaro You experience any unexplained neurological symptoms Urgent medical attention is needed if you develop severe, persistent abdominal pain (which may radiate to the back), persistent vomiting, fever, or yellowing of the skin/eyes, as these could indicate pancreatitis or gallbladder problems Your GP or practice nurse can arrange blood tests to check your B12 levels (serum B12, holotranscobalamin, and if borderline, methylmalonic acid levels may be used where available) and determine the appropriate frequency of B12 injections if deficiency is confirmed

We source our B12 from reputable medical suppliers, so you receive a pure, sterile product held to pharmaceutical standards rather than a supplement of unknown origin

$6.37 $10.43 $6.37 Unit price per Westend Medical Bacteriostatic 0.9% Sodium Chloride Injection, USP (20 mL bottle) $10.26 $10.26 Unit price per EXPIRATION DATE: 30 NOV 2027 Brand: Hospira This preparation is designed for parenteral use only after addition of drugs that require dilution or must be dissolved in an aqueous vehicle prior to injection

How do I know if lipotropic B12 injections or oral supplements are right for me