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While menstrual irregularities and spotting are not listed as direct side effects in the official Mounjaro prescribing information, there are several plausible biological mechanisms through which tirzepatide may indirectly influence the menstrual cycle
For adults, the daily recommended intake of Vitamin B12 is 1.5 micrograms per day and this amount is present in most balanced diets
At RMBI, vitamin B12 is a staple in every IM injection
Importantly, these effects occurred at rates similar to placebo groups, suggesting that many cases represented background occurrence rather than treatment-specific effects
Because it originates in gastric juice, its natural target tissues are the stomach, small intestine, and colon
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