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If you suspect an adverse reaction to Mounjaro or any other medication, you can report this through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Since NNMT is expressed in adipose, hepatic, and gut tissues 50,51,52 , and these tissues heavily cross-talk with the gut microbiome 53,54,55 , NNMTi treatment or its resulting weight loss effects 8,9 may modulate the microbiome

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Multivitamins (MODERATE EFFECT) A typical multivitamin contains: 6-25 mcg B12 (daily recommended intake is 2.4 mcg) Effect: Can increase serum B12 by 20-50 pg/mL if taken daily Stop 2-3 days before the test for accuracy 3