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In one of his dear doctor letters, he writes that there is no proof that intramuscular B12 injections are better than oral tablets, so stop treating people with B12 injections

While healing the gut, I often recommend supplementing with HCl and digestive enzymes to help B12 absorption from food sources

[11] In general, iron from supplements is better absorbed when consumed with a food that contains vitamin C, such as a tomato or another citrus fruit

Check for blood before injecting the medicine

The loading dose concept

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