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Monks, J

If oral B12 replacement has been trialled in a person with metformin-associated B12 deficiency, I would suggest that a repeat measurement of B12 levels after 812 weeks is a good time to reassess whether absorption is adequate or whether a switch to intramuscular replacement is required

Monitoring for signs of B12 deficiency remains important, particularly if Mounjaro-related side effects lead to prolonged reduced food intake or vomiting

Philp D et al

As noted above, mTOR signaling has emerged as a key control point for B cell functions 35

Tetrahydrocurcumin alleviates allergic airway inflammation in asthmatic mice by modulating the gut microbiota