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Gentle movement is fine and can help circulation, but heavy lifting, vigorous upperbody workouts, or repetitive strain at the injection site can increase blood flow and make bruises larger or soreness last longer

Medication Interactions: Certain medications, like proton pump inhibitors and metformin, may interfere with B12 absorption

This multi-receptor approach distinguishes it from existing licensed medicines such as semaglutide (Ozempic, Wegovy) or tirzepatide licensed in the UK as Mounjaro for type 2 diabetes and as Zepbound for obesity which act on fewer receptor pathways

Your doctor may either assure you that your B level is fine (so no B needed), or they will arrange B shots in tandem if necessary