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B12 MIC injections and IV treatments bypass the stomach altogether, and are already in a form your body can use, so absorption is not an issue
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
Some patients may then require 1-2 injections per year to maintain sufficient Vitamin D levels
For more information on how to adjust your diet to reduce cardiovascular risk, check out this post on diet and cardiovascular risk
The peptide sequence (Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala-Asp-Asp-Ala-Gly-Leu-Val) remains stable in gastric acid, which distinguishes it from many other growth factors and healing compounds that degrade rapidly in the digestive system
Research confirms up to 70% collagen increase in cell models
