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The following are risk factors for acid reflux: Obesity Low levels of physical activity
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
The Bottom Line If you do not supplement and your blood test still shows high B12 levels, work with your doctor to find out what underlying condition is causing the elevated levels
Over time, MOTS-c supports metabolic health, weight loss, and physical resilience, making it a powerful tool for patients aiming to optimize both energy output and fat metabolism as part of their weight management program
Vivo Lifes Liquid B12 supplement contains 500mcg per serving, which is a functional dose containing the three most active forms of B12
