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You should arrange an appointment if you are currently taking Mounjaro and experience symptoms suggestive of B12 deficiency, including persistent tiredness or weakness, pins and needles or numbness in hands or feet, difficulty with balance or walking, memory problems or confusion, a sore, red tongue (glossitis), or mouth ulcers

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However, the risk of bone fractures may be increased by supplements containing 25 mcg or more daily, according to some research