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The question of whether vitamin B12 supplementation is necessary when taking Mounjaro requires careful consideration of the available evidence and individual patient factors

NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement

The expiration may depend on whether youre using insulin from a glass vial, a prefilled disposable insulin pen, or a cartridge that goes into a reusable insulin pen

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If you intend to dispense to patient customers, as in Direct Primary Care (DPC) or Concierge Medicine, you will be required to provide your Physician Dispensing Permit info, if required by your state where you practice