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At your first consultation Dr Charan Singh Thandi will discuss your medical history and the treatment regime so you can make an informed decision

However, some research suggests that the hormones in birth control can affect the levels of melatonin that the body produces and therefore increase the risk of experiencing side effects when taking melatonin supplements [14], so you should speak with your doctor if youre considering taking both at the same time

Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)

Shridharani in several hundred patients who have undergone a cumulative of over a thousand treatments