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Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)

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Early detection of sub-clinical ketosis followed by an efficacious treatment should help to minimise economic losses (Brozos et al., 2011

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If these symptoms are mild and occur occasionally, monitoring them closely may be sufficient