Damage to these musculoskeletal entities are typically caused by tears in these fibers during activity
Mounjaro does not directly cause B12 deficiency, but its appetite-suppressing effects may lead to reduced food intake and potentially suboptimal nutrient consumption over time

References PMC Once-Weekly Semaglutide for Weight Management: A Clinical Review Comprehensive review of Semaglutides mechanism, efficacy, and safety in weight management (clinical data, half-life, GLP-1 receptor activation, weekly dosing) NCBI Bookshelf Semaglutide (StatPearls) Comprehensive pharmacology, clinical uses, dosing strategies, adverse effects, and contraindications for Semaglutide Mayo Clinic Semaglutide (Subcutaneous Route) Clinical guidance on Semaglutide administration, side effects, dosing, and patient information including weekly protocol PMC Semaglutide 2.4 mg for Weight Loss: Clinical Evidence Evidence-based review of Semaglutide 2.4 mg weekly maintenance dosing and clinical outcomes in obesity treatment PubMed Cardiovascular Outcomes with Semaglutide Long-term cardiovascular safety and benefits observed in Semaglutide clinical trials Journal of the Royal Society Interface (2017) Peer-reviewed review of formulation, temperature, agitation, lyophilization, and other factors that affect peptide stability

Patience during the initial weeks, even if improvement seems gradual, often proves worthwhile as the tissue repair process takes time to manifest fully
Second, contamination risk
Plant foods don't have vitamin B12 unless they're fortified