That said, consider talking to your healthcare provider about oral Mounjaro alternatives if you experience severe, ongoing pain with injections
(Thats why vitamin B12 is often treated with B12 injections fewer barriers to absorption!) A different small study on people who underwent gastric bypass surgery found that higher doses of oral B12 supplements (1,000 to 2,000 mcg) are about as effective as injections
The starting dose is not just a formality
Gastrointestinal adverse events occurred in 79.6% of CagriSema participants versus 39.9% with placebo, were mostly transient, and led to discontinuation in 6-8.4% of participants
This is followed by maintenance injections of 1mg every 2-3 months (or every 2 months with neurological involvement)
However, any severe persistent symptoms, significant changes in health status, or concerning new symptoms should prompt immediate consultation with your healthcare provider