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The prescribing information for Mounjaro does not list vitamin B12 deficiency as a recognised adverse effect, and clinical trials have not identified a direct mechanistic link between the medication and B12 status

Zheng LQ, Zhang HL, Guan ZH, et al

10.6 International standards and safety frameworks The foundational international framework for assessing the safety and efficacy of probiotics was established through collaborative efforts by the FAO of the United Nations and the WHO