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Whilst routine vitamin B12 screening is not standard for patients on Mounjaro alone, your GP may include this in monitoring if you have additional risk factors such as concurrent metformin use, a history of gastrointestinal surgery, strict dietary restrictions, or symptoms suggestive of deficiency

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Its usually a symptom of something deeper hormonal decline, chronic inflammation, poor sleep quality, gut dysbiosis, or mitochondrial dysfunction

Bacteriostatic water (BAC water) is sterile water containing 0.9% benzyl alcohol, which inhibits bacterial growth