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Oral and Other FDA-Approved Medications GLP-1s are not the only approved pharmacotherapy, and for some patients they are not the right first choice: Ready to put this into practice

In these cases, your GP should arrange intramuscular hydroxocobalamin injections according to NICE guidelines, with the regimen depending on whether neurological symptoms are present (as detailed in the previous section)

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Unless the cause of B12 deficiency is temporary i.e

"Effect of soybean processing on content and bioaccessibility of folate, vitamin B12 and isoflavones in tofu and tempe"