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This is where we need to have an honest conversation and manage expectations

Consistency is keypeptides often work gradually over time

Unexplained hypercobalaminemia, particularly levels above 1,000 pg/mL, has been associated with liver disease, kidney dysfunction, myeloproliferative disorders, and certain solid cancers in multiple large-scale studies

Kralj et al., 2017)

You should arrange an appointment if you are currently taking Mounjaro and experience symptoms suggestive of B12 deficiency, including persistent tiredness or weakness, pins and needles or numbness in hands or feet, difficulty with balance or walking, memory problems or confusion, a sore, red tongue (glossitis), or mouth ulcers