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
Electrospray ionization in positive mode and multiple reaction monitoring are applied for detection
Red flags to watch for include: severe vomiting dehydration severe abdominal pain fainting or signs of low blood sugar If youre having bad side effectssuch as having trouble eating due to extreme nausea or severe fatigue that interferes with daily functionafter trying a new medication or increasing the dose, contact your clinician right away
Indeed, in humans, SSRIs only elevate serotonin release (and hence activity) moderately, inconsistently, and with a delay (38-40) - which could, in part, explain why SSRIs (and SNRIs) treat depression, OCD, and other mood disorders modestly, inconsistently, and with a delay (41-43)
Some plant-based milks, cereals, and nutritional yeast are fortified with B12, which can certainly help