Why Testing Is The Only Way To Be Sure For some people, the risk of developing a B12 deficiency is much higher
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Vitamin B12 Deficiency on Mounjaro: Signs, Testing, and Supplements When people start Mounjaro (tirzepatide) , theyre usually focused on appetite changes, steady weight loss, or managing the dose-escalation side effects
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Most of that risk comes not from diet but from a quiet, gradual decline in the body's ability to absorb B12 from food, plus the very common prescription medications (metformin, omeprazole, esomeprazole, famotidine) that further reduce absorption