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Use of these agents has been associated with a modest increase in lipase and amylase levels (by 15 and 37%, respectively, in one study 47 ), but this is rarely of any clinical significance

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Glycemic control and excess mortality in type 1 diabetes

However, the doctor adds, the move was "not ideal" for high-risk patients, acknowledging that injections are generally preferred for those with pernicious anaemia or severe B12 deficiency due to "guaranteed" absorption

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