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Certain thyroid conditions may also limit the use of GLP-1 medications

Cadwallader, A.B., Lim, C.S., Rollins, D.E

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)