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Ann Intern Med 175(1):ITC1-ITC16

Cagrilintides mechanism of action is rooted in its ability to mimic the physiological effects of the hormone amylin

Research by Hsieh et al

The British National Formulary (BNF), for example, differentiates the prescription of hydroxocobalamin according to presenting symptoms, eg, For neurological involvement, it is advised to administer hydroxocobalamin by intramuscular injection, initially 1 mg once daily on alternate days until no further improvement, then 1 mg every 2 months. In the Netherlands, pharmacotherapeutic guidelines 51 recommend (for the same neurological symptoms or abnormalities) administration of 1000 mcg once or twice weekly for up to two years

If it is, ask to get the methylcobalmin at a compounded pharmacy or through your doctor