Supplies: Bacteriostatic water, syringes, alcohol swabs add to ongoing costs
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
If you do this, use a fresh syringe for the transfer, swab all stoppers, and record the combined volume and total tirzepatide content so you can calculate the new concentration accurately
DENA ZAPOTOSCHNY I had gastric bypass several years ago and as you know you dont absorb nutrients like you shouldwell I wasnt getting the nutrients to absorb like I should plus I hated taking ALL THOSE VITAMINS..I just found about about the b12 vitamin patch..OMG
