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As long as your kidneys are working then your body will have no problem getting rid of any excess B12 that you may take by mouth

I have had this before after a long period without B12 and then too much all at once in 2017, and I did go to the hospital and had an ECG

According to the Mounjaro Summary of Product Characteristics (SmPC), these two treatments do not have a known direct pharmacological interaction, as they work through entirely different mechanisms and are metabolised via separate pathways

High frequency stimulation of subthalamic nucleus results in behavioral recovery by increasing striatal dopamine release in 6-hydroxydopamine lesioned rat