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But as your B12 level rises, you wont need them more frequently

This caused a rapid improvement in symptoms and a simultaneous rise in red blood cell counts

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[3] Whilst Mounjaro itself does not directly cause B12 deficiency, the dietary changes and reduced food intake associated with its use could theoretically contribute to suboptimal nutrient intake

[76] [77] Other mammalian species (examples: rabbits, pikas, beaver, guinea pigs) consume high-fiber plants which pass through the gastrointestinal tract and undergo bacterial fermentation in the cecum and large intestine