b12 injection handout Cobalamin (vitamin B12) and Folate Deficiency Combining Vitamin B12 and Mounjaro:

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Common Side Effects of Dexamethasone, Lidocaine HCl, Thiamine HCl & Cyanocobalamin Injection Mild injection site reactions (redness, pain) Dizziness, drowsiness Rare: Allergic reaction to any of the components Long-term corticosteroid use may lead to adrenal suppression (monitor accordingly) Note: Should only be administered under healthcare supervision

Stacking them targets both sides of the energy balance equation simultaneously, which is why the combination generates interest

- **Include relevant DME components if applicable**: When Hizentra is provided using a pump, the drug itself is billed separately under J1559, while the infusion pump and supplies are billed under durable medical equipment guidelines according to DME MAC policies

Individual suitability varies, so a consultation is always the right starting point before beginning a series