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In this process, as a selective receptor for ferritin autophagy, the level of NCOA4 also affects the level of ferritin

These recommendations are for the cyanocobalamin form of B12 onlythe form in fortified foods and most supplements

The thyroid gland is just one of the glands in this system that includes the pituitary gland, the thymus, the adrenal glands, the pancreas, and many more

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

Use fresh aloe vera gel or cucumber juice after sun exposure for best results