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Avoid high-fat foods, citrus, chocolate, and spicy dishes at least 3 hours before bedtime, as these trigger acid secretion and impair the sphincter's ability to seal

Q: What should patients and doctors do to prevent these dangerous falls and fainting spells from happening

Limiting alcohol, avoiding tobacco and managing stress can assist

However, because both may affect appetite, digestion, and stress hormones, you should notify your PlexusDx healthcare provider before combining them so they can monitor your response and adjust your treatment plan if needed

Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)

"There are lots of negative effects of weight loss drugs