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However, some research suggests that the hormones in birth control can affect the levels of melatonin that the body produces and therefore increase the risk of experiencing side effects when taking melatonin supplements [14], so you should speak with your doctor if youre considering taking both at the same time

If left untreated, vitamin B12 deficiency can cause neurological changes, such as numbness or tingling in the hands and feet

Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)

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