Breastfeeding Consult your doctor before using Optineuron Injection while breastfeeding, as some components may pass into breast milk
Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)
Deficiency results in fatigue, weakness, and cognitive fog
There are also some, but not many, warning signs of B12 deficiency seen in eyes
The Pernicious Anaemia Society is getting frequent worried phone calls from members desperate that their B12 injections have been postponed due to the coronavirus crisis
Avoid taking it close to bedtime as NAD elevation may impact circadian signaling