It depends on your individual needs, but most people start with weekly injections before switching to monthly maintenance
In people with this deficiency, glossitis can appear alongside stomatitis, which causes sores and inflammation in the mouth
For people not losing weight on tirzepatide , or those who have plateaued on GLP-1/GIP dual agonism, survodutide represents a mechanistically different approach that could work where tirzepatide has stopped working
Vitamin B-12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anaemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B-12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition