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Though the active ingredient is identical to Mounjaro, the NDC numbers are different because they are separate FDA-approved products

Cardiovascular (Heart and Blood Vessel) Complications In rare but serious cases, B12 replacement can lead to heart and blood vessel problems: Shortness of breath Peripheral edema (swelling in legs and arms) Rapid weight gain Pulmonary edema (fluid in lungs) Congestive heart failure (heart cannot pump effectively) Blood clots in vessels These complications arise from increased blood volume, thicker blood, and sudden changes in how hard the heart needs to work

If your deficit is mild, you may respond quickly to medication and eating more foods containing B12

They can evaluate your unique medical needs