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Patients are started on the lowest dose and titrated up as tolerated every four weeks

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[7] [8] [2] The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer

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If youre on Mounjaro and using the contraceptive pill, youll need a non-oral contraceptive method or barrier protection for the first four weeks of each dose
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