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at least 20 minutes of clinical staff time per month directed by a physician for managing chronic conditions

Patients were asked to stop taking any supplement containing vitamin B12 for two weeks before the study

Individuals taking metformin alongside Mounjaro face increased risk of B12 deficiency, as metformin is known to impair B12 absorption, and may require more frequent monitoring

This encompasses corticosteroids (triamcinolone, methylprednisolone, betamethasone), local anesthetics (bupivacaine, lidocaine), antispasmodics, and opioids