The one honest exception: TB-500 works partly by mass-action, so a higher local concentration in the brief window before it disperses is at least plausible
Measuring vitamin B-12 bioavailability with [13C]-cyanocobalamin in humans
However, if the price of semaglutide injections is too expensive, lipotropic injections are a cheaper alternative to consider
You should arrange an appointment if you are currently taking Mounjaro and experience symptoms suggestive of B12 deficiency, including persistent tiredness or weakness, pins and needles or numbness in hands or feet, difficulty with balance or walking, memory problems or confusion, a sore, red tongue (glossitis), or mouth ulcers
Neurological symptoms matter because they can become permanent if the deficiency is prolonged
10.1093/ajcn/nqaa221 [DOI] [PubMed] [Google Scholar] Doets E