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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

Palatable strawberry flavor encourages easy dosing

Peripherally, pancytopenia is most often observed, but only 12 of the major cell types (erythrocytes, leukocytes, platelets) may be depressed in some cases

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The dose might change based on how severe the deficiency is