A consultation is especially important if you: Have a known allergy to B vitamins or any of the MIC components Are pregnant, breastfeeding, or trying to conceive Have kidney disease, liver disease, or a history of kidney stones (methionine metabolism can affect uric acid and homocysteine levels) Take blood thinners, immunosuppressants, or medications that interact with B12 absorption (such as metformin) Have a sulfa allergy (methionine is a sulfur-containing amino acid) Have a trimethylaminuria (fish-odor syndrome) diagnosis, which affects choline metabolism Have a history of cardiovascular events or uncontrolled hypertension This list is not exhaustive, and it is not a substitute for an individualized assessment
Quick Take 1: Vegans and vegetarians can get B12 from plant sources, but have to consume a lot of these foods daily, including organically grown cress, shitake mushrooms, nori seaweed, and fermented vegetables
For everyday support, lower levels are typically recommended, while higher levels may suit more demanding wellness routines
If amycretin succeeds, it could make cagrilintide as a standalone product less relevant, though the amylin mechanism it pioneered would live on in the new molecule
At 10 mg, 6 doses