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Lian, J., Nelson, R

Adequate B12 levels ensure a well-functioning immune system, providing a defense against various infections and diseases and maintaining overall health

Both variants had not previously been described and were classified as pathogenic according to the American College of Medical Genetics (ACMG) guidelines [13]

PMID 12522365

Monitoring for signs of B12 deficiency remains important, particularly if Mounjaro-related side effects lead to prolonged reduced food intake or vomiting