For a patient with B12 deficiency on Mounjaro 7.5mg and maximum dose Metformin, with an HbA1c of 43, which medication should be reduced?

Monitoring vitamin B12 levels is important in patients on metformin, but the evidence does not indicate a need to reduce tirzepatide or metformin solely due to vitamin B12 deficiency with current glucose control.

Keywords

endocrinology, drug interaction, HbA1c, medication management, diabetes management, B12 deficiency, vitamin deficiency, pharmacology, Mounjaro, Metformin

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