vitamin b12 injection for weight gain

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[5] [6] While fatigue is not listed among the most common adverse effects in the Mounjaro prescribing information, it is reported by some patients during treatment

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As to the aches and pains, breathlessness etc, this could be due to B12 needing potassium to build RBC, so I would check out low potassium symptoms and eat a banana or maybe two until you have fathomed it out