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The manufacturer's expiration date on the vial applies under these conditions

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I starting feeling bad almost straight away after my 2nd glass of wine and this morning I feel like Ive been up all night dancing

I wont bore you with the details, but suffice it to say that without adequate levels of cobalamin, a number of enzymatic processes dont proceed as they should

[3] Whilst Mounjaro itself does not directly cause B12 deficiency, the dietary changes and reduced food intake associated with its use could theoretically contribute to suboptimal nutrient intake