Consent of Independent Registered Public Accounting Firm

We consent to the reference to our firm under the caption "Experts" in the Registration Statement (Form S-1) and related Prospectus of MBX Biosciences, Inc. for the registration of shares of its common stock and to the incorporation by reference therein of our report dated March 17, 2025, with respect to the financial statements of MBX Biosciences, Inc. included in its Annual Report (Form 10-K) for the year ended December 31, 2024, filed with the Securities and Exchange Commission.

/s/ Ernst & Young LLP

Indianapolis, Indiana

September 24, 2025