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The neurological symptoms of vitamin B12 deficiency can occur without anaemia, so early diagnosis and intervention is important to avoid irreversible damage

What Symptoms May Indicate A Vitamin B12 Deficiency

However, certain groups require particular attention: Vegans and strict vegetarians must obtain B12 through: Fortified foods (plant-based milk alternatives, breakfast cereals, nutritional yeast) Regular B12 supplementation (typically 1025 micrograms daily or 2000 micrograms weekly) The Vegan Society recommends that all vegans supplement B12, as plant-based sources are unreliable and insufficient

Additional contraceptive methods are advised for 4 weeks after starting Mounjaro and after each dose increase