Seek urgent advice (contact your GP, NHS 111, or diabetes specialist nurse) if you notice: Small amounts of blood in vomit or stools that resolve quickly Bright red blood on toilet tissue (possibly from haemorrhoids) that persists beyond a few days Any unexplained bruising or bleeding from other sites Bleeding gums or nosebleeds that are unusual for you Routine review may be appropriate for: Minor, self-limiting bleeding that has a clear benign cause (such as a small haemorrhoid) Questions or concerns about potential bleeding risk Discussion of gastrointestinal symptoms that might predispose to bleeding When contacting healthcare services, provide relevant information including: Duration and frequency of Mounjaro treatment Recent dose changes Description of bleeding (colour, amount, frequency) Associated symptoms (pain, nausea, dizziness) Other medications, particularly anticoagulants or NSAIDs Pre-existing gastrointestinal conditions Your healthcare team can then determine the appropriate level of investigation, which may include blood tests (full blood count, coagulation studies), endoscopy, or other diagnostic procedures as clinically indicated according to NICE guidelines for investigating upper and lower gastrointestinal bleeding

It works by increasing insulin when blood sugar is high
Li W, Zhang Y, Zhao J, Yang T, Xie J
This medicine may cause some people to be agitated, irritable, or display other abnormal behaviors
Clinical trials have shown that it helps improve glycemic control in adult type 2 diabetes mellitus patients along with atherosclerotic cardiovascular diseases (ASCVD) and obesity
however, this study did not assess NAD + levels or mitochondrial function 328