Ajay K Sinha General Physician/ Internal Medicine Specialist 30 Years MD, Internal Medicine Delhi Apollo Hospitals Indraprastha, Delhi (225+ Patients) Consult a Top General Physician Dr
Its our preferred way to inject B12, especially if you self-inject, and againtheres no muscle pain after B12 shots done this way
If you're seeing a rainbow in the bowl after kicking off a new vitamin regime, it's just your body's way of keeping things in check by ditching what it can't use
Correct reconstitution procedure: add bacteriostatic water slowly down the inner wall of the vial rather than injecting directly onto the lyophilised powder
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
Is there anyone on injections and breastfeeding
