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Potential Side Effects and Safety Considerations When considering B12 injections alongside Mounjaro, it is important to understand the side effect profile of each treatment independently, as well as practical safety considerations

GIP/GLP-1 SGLT2DPP4GLP-1 GIP/GLP-1 GIP/GLP-1 GIP/GLP-1 GIPglucose-dependent insulinotropic polypeptide: GLP-1glucagon-like peptide 1: -1 GLP-1 5mg 1.0mgSURPASS-25mg1mg-7.6kg15mg-11.2kg SURPASS-21mg5mg/40HbA1c2%HbA1c2% N Engl J Med 385(6):503-15,2021. 2SRPUSS J-monoHbA1c7.067HbA1c 7.094 GIPGLP-1 111 GIP/GLP-12023 2022 SURPASS-J-mono GLP-1 / 9 FORTUNE DREAM

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Key features of PCOS include: Menstrual irregularities or absent periods (oligomenorrhoea or amenorrhoea) Clinical or biochemical signs of hyperandrogenism (excess facial or body hair, acne, male-pattern baldness) Polycystic ovarian morphology on ultrasound examination Insulin resistance and compensatory hyperinsulinaemia Diagnosis typically follows the Rotterdam criteria, requiring at least two of the first three features above, after exclusion of other endocrine disorders

Recommendations for Dosage and Method Of Administration 1-2 Vials per subcutaneous to manage fats under the skin