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A medication that significantly curbs hunger could compromise your milk supply and the nutrient quality of your breast milk especially in those critical early months
Other common reasons include a subtle decrease in medication adherence, a loss of muscle mass, or needing adjustments to your diet and exercise routines
Incidentally, the healthy reference range is 191-663 pg/ml and correlates closely with oral cobalamin intake, which is why the vitamin B12 blood level alone is not an adequate parameter to diagnose a deficiency (Herrmann and Obeid, 2014)
You should also check in with your doctor if you notice any of the following: Your cycles are a lot shorter or longer than usual You have very heavy or very light periods Youre experiencing significant changes in premenstrual symptoms Youre getting severe cramping or pain is getting much worse Your doctor or clinician can determine if Mounjaro or another factor is causing these changes
