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Vitamin B12 deficiency can also cause glossitis , which is inflammation of the tongue

Some of these symptoms include: Sensations that are unusual including tingling in the feet, legs, and/or hands Numbness Difficulty walking, this will be including issues with your balance and staggering when walking Anemia Inflamed or swollen tongue Memory loss, having a hard time reasoning or thinking Weakness Fatigue How often should you get a B12 shot

PMC 1499627

Nutrients 2026

When NNMT is overactive, it consumes excess NAD+, leaving less available for these critical processes

However, significant weight loss from Mounjaro can create some indirect hormonal effects: Reduced Peripheral Oestrogen Fat tissue produces oestrogen through a process called aromatisation