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Initial treatment for patients with neurological involvement follows British National Formulary (BNF) guidance: Hydroxocobalamin 1 mg intramuscularly on alternate days for approximately 2-3 weeks (or until no further improvement) Maintenance therapy then consists of hydroxocobalamin 1 mg intramuscularly every two months Hydroxocobalamin is preferred over cyanocobalamin in the UK due to superior retention and fewer injections required

Tirzepatide and Insulin Resistance : Tirzepatide improves insulin sensitivity by promoting insulin secretion in response to food intake, essential for regulating blood sugar

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PMID: 30547302 Guo EL, Katta R