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According to the Mounjaro Summary of Product Characteristics (SmPC), these two treatments do not have a known direct pharmacological interaction, as they work through entirely different mechanisms and are metabolised via separate pathways

Journal of Nutritional Biochemistry, 24(3), 207213

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Treats B12 deficiency associated with cobalt deficiency in cattle and sheep and B12 deficiency associated with inadequate intake or intestinal malabsorption in swine

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Curr Phys Med Rehabil Rep (2015) 3:151158 DOI 10.1007/s40141-015-0086-1
