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You should arrange an appointment if you are currently taking Mounjaro and experience symptoms suggestive of B12 deficiency, including persistent tiredness or weakness, pins and needles or numbness in hands or feet, difficulty with balance or walking, memory problems or confusion, a sore, red tongue (glossitis), or mouth ulcers

Gently aspirate by pulling back slightly on the plunger to check for blood: If blood appears , stop, withdraw, and restart in a new spot

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In some cases, patients can learn to self-administer these shots