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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]

Most notably, two massive tirzepatide shipments from Taixing SynTheAll Pharmaceutical Co., an illegitimate facility in China, declared 204 kilograms and 214 kilograms of API, and both shipments were released into the United States

Refer patients who dont respond to lifestyle or pharmacological therapies

However, suitability may vary depending on individual health conditions, allergies, or underlying medical concerns