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Oral Hygiene: Clean your teeth as often as possible
John Pillepich John Pillepich , PhD, CPhT, is a nutritionist and certified pharmacy technician
Kendal et al., 2020
Cold sensitivity while taking Mounjaro typically presents as feeling unusually cold, even in environments that previously felt comfortable
Researchers should design their protocols with these differences in mind and avoid making direct comparisons to clinical trial outcomes without appropriate caveats
Medical conditions affecting absorption warrant particular attention : Pernicious anaemia : an autoimmune condition destroying gastric parietal cells, requiring lifelong B12 injections Gastrointestinal surgery : particularly gastric bypass, gastrectomy, or terminal ileum resection Inflammatory bowel disease : Crohn's disease affecting the terminal ileum impairs absorption Coeliac disease : untreated disease damages the small intestine, reducing B12 uptake Medication use : long-term metformin therapy (MHRA safety alert) or nitrous oxide exposure Symptoms suggesting possible B12 deficiency include : persistent fatigue, weakness, paraesthesia (pins and needles) in hands or feet, glossitis (sore, red tongue), mood changes, memory problems, or unexplained anaemia
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