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Fortunately, if you have a B12 deficiency, its relatively easy to get a diagnosis and start a treatment plan

Lower, physiological doses often produce significant effects on sleep and hormonal regulation, while higher, supraphysiological doses may show diminished or even paradoxical effects

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When starting both medications together, or adding one to an established regimen of the other, patients should: Take sertraline with food to minimise gastric irritation Follow the gradual dose titration schedule for Mounjaro as prescribed Stay well hydrated, especially if experiencing vomiting or diarrhoea Report persistent or severe gastrointestinal symptoms to their GP Risk of dehydration and kidney function : If significant vomiting or diarrhoea occurs, it's important to maintain adequate hydration