doi: 10.1016/s0005-2728(05)80140-9 34 OhyeHSugawaraM
Not for therapeutic, diagnostic, agricultural, or veterinary use.

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

Using Doctronics AI doctor can help you understand your symptoms quickly and decide the best course of action, whether its home care or seeing a specialist
Potential side effects of ingesting large quantities of B vitamins can be diarrhea, swelling of the throat and lips and difficulty breathing
Cyanocobalamin : Helps address vitamin B12 deficiency that can cause fatigue, weakness, and low energy