how often should vitamin b12 injections be given injections: who needs them and often? B12 Injection Dosage and Frequency:

repletion reverses hematologic symptoms within days and neurologic sequelae over weeks, reflecting differential tissue turnover

Mounjaro (tirzepatide) is a prescription medication licensed by the MHRA for the treatment of type 2 diabetes mellitus and for weight management in adults with obesity (BMI 30 kg/m) or overweight (BMI 27 kg/m) with at least one weight-related comorbidity

Myelin is the fatty insulating layer that wraps around nerve axons, enabling rapid and efficient electrical signal transmission

it is also worth bearing in mind that PPIs (omeprazole etc) alter the acidity in your stomach and this can also have consequences further down your gut - this affects you gut microbiome and can have long-term consequences the full efffects of taking any medication which affects your gut bacteria are not fully understood or known as this is still a newish field of knowledge - but taking good care of your gut flora is much more important than many people realise the vit B12 issue you refer to involves gut bacteria (as far as i can recall), so if this is being affected i'm sure you can appreciate that other delicate balances can also be upset So, what do you take to help with the gut bacteria