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Anaphylaxis: A very rare, life-threatening allergic reaction to the injection formula or its preservatives

Intramuscular hydroxocobalamin injections are the standard treatment, as they bypass absorption issues and rapidly replenish stores, which is essential to prevent irreversible nerve damage

Scientific References Mounjaro KwikPen 2.5mg solution for injection in pre-filled pen - Summary of Product Characteristics (SmPC)

Preventive Services Task Force, have published guidelines on screening asymptomatic or low-risk adults for vitamin B 12 deficiency, but high-risk patients, such as those with malabsorptive disorders, may warrant screening