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Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)

Begin With Clear Instructions Patients receive pharmacy and provider guidance covering storage, preparation, administration, possible side effects and when to contact the medical team

Your initial swelling begins to subside during this time

If your vial does not have a visible BUD, contact the pharmacy immediately

Avoid heavy or fatty meals 4 hours before bed