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These tests can help doctors determine if someone has a primary deficiency (not enough vitamin intake) or a secondary deficiency (due to an underlying disorder)

PMID 31279840

[4] [7] Currently, there is no established direct pharmacological link between GLP-1 receptor agonists (including Mounjaro) and vitamin B12 deficiency

5.2 Acute Tubulointerstitial Nephritis Acute tubulointerstitial nephritis (TIN) has been observed in patients taking PPIs and may occur at any point during PPI therapy