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The frequency of injections depends on individual needs and medical advice, but many people receive injections once a week if they are deficient

"It is particularly prevalent in high rainfall areas (450mm rain per year), where improved, irrigated or fertilised pastures can grow rapidly, such as a spring flush." Symptoms of clinical deficiency in young livestock include scouring

But it's anecdote pointing straight at something his own lab published nearly thirty years ago

Individuals taking metformin alongside Mounjaro face increased risk of B12 deficiency, as metformin is known to impair B12 absorption, and may require more frequent monitoring